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In fact, the bulk of published data consistently demonstrates poor reproductive outcome with use of tobacco products

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Theyre also troubled the FDAs authorization sends the message that vaping, or inhaling foreign nicotine and other substances into the lungs, seems to suggest theres little health risk with the practice

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Strengths and limitations The main strengths of this study include the population-based cohort design, the large sample size of over 12 million live births, the detailed examination of the associations between the timing and intensity of maternal cigarette smoking and many congenital anomalies subtypes considered (including rare subtypes), the adjustment for several (but not all possible) covariates, and the sensitivity analyses used to confirm our findings