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4 EVALUATION AND SCREENING The American College of Obstetricians and Gynecologists recommends that clinicians ask about tobacco use (along with secondhand smoking) before pregnancy, throughout pregnancy, and during postpartum periods, and advise patients regarding the significant perinatal risks and the importance of quitting tobacco or nicotine use in any form, including e-cigarettes and vaping

In 2018, three other states Oregon, Maine, and Massachusetts enacted their own Tobacco 21 laws

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Mods in this category may lack some of the features of more expensive e-cigarettes

While smoking rates overall in the US have declined, the number of menthol smokers remains stable and has even increased in younger demographics