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The finding supports the low level of cigarette smoking reported in Africa [24, 25] Pre-pregnancy tobacco use was the only significant predictor of tobacco exposure in our study that was associated with tobacco exposure during pregnancy

They include: Relaxation of the upper airway muscles caused by nicotine Increased upper airway inflammation Changes in sleep patterns (increased sleep deprivation, sleep fragmentation, etc.) More frequent sleep arousal caused by nicotine Research suggests that smoking can disrupt healthy sleep patterns

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