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The Royal College of Obstetricians and Gynaecologists says the impact of smoking is clear (14): Smoking is harmful to the mother and baby Passive smoking can harm the mother and baby Smoking will lead to an underweight baby and that is bad for its health The best thing to do is stop smoking, especially when pregnant The Smoking in Pregnancy Challenge Group is a partnership between the Royal College of Midwives, the Royal College of Obstetricians and Gynaecologists and the Royal College of Paediatrics and Child Health

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However with effective January 5, 2026 several states have moved to aggressively recalibrate their tobacco taxes