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And thats creating a confusing picture for researchers: A 2018 report from the National Academy of Sciences that attempted to synthesize all of the studies available up to that time stated there was moderate evidence that e-cigarettes were effective as a smoking cessation tool but noted there was a discrepancy between randomized trials where the effect was evident, and observational surveys where it was not

Nevertheless, they conclude that their findings suggest that there is no safe period and no safe level of cigarette smoking shortly before or during pregnancy. and re-emphasise the need to prevent smoking initiation for non-smokers and to promote smoking cessation for smokers.

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