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These reports do not prove that maternal smoking causes the conditions described." "Theories regarding the mechanisms by which maternal smoking affects the fetus have included: action of nicotine older woman nude on maternal uterine vessels; direct action of nicotine on the fetus which may result in increased fetal metabolism and a greater need for nutrients: reduced maternal weight gain, decreased availability of essential nutrients; and chronic fetal hypoxia associated older woman nude with increased levels of carboxyhemoglobin. However, it must be emphasized that none of these theories has older woman nude been verified; they are the subject of speculation." "Current review articles on smoking during pregnancy speak to the need for consideration of the many factors associated with problems of pregnancy … All of these factors must be carefully considered before any conclusions concerning maternal smoking can be reached."56
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