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While the instrument used for outcome measurement was varied from depending on self-report and dairies either written or electronic solely or accompanied with validation test such as taking urine specimen for anabasine and antabine as a biochemical confirmation of OST abstinence, Fagerstrm test for nicotine dependence-OST (FTND-ST) which was modified to specifically measure OST nicotine dependence level, or the OST abstinence rate was validated with saliva cotinine test

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However, these options are not risk-free

In a Canadian survey of 605 pregnant women, women with lower education and income levels, Indigenous or Metis background, and those who had previously given birth were more likely to report two or more drug related risk factors (alcohol, smoking, psychoactive drugs and/or caffeine) [17] during pregnancy

Try to steer clear of places where you usually smoked, like a break room at work or a favorite bar