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Subtheme 3: pregnancy as a significant risk factor for SLT initiation Pregnancy in the present study was observed as a significant factor influencing the initiation and continuation of smokeless tobacco use among participants
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This observation aligns with existing literature, which similarly underscores the adverse impact of e-cigarettes on these systems [12, 24]
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Snuff use during pregnancy is linked to stillbirth, premature birth and the child may be underweight at birth
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