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[39] Articles and a major medical book published in the 1930s observed an association between smoking (in both men and women) and lower fertility, including more miscarriages

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Another factor in decreased birth weight is fetal growth restriction, which occurs because nicotine constricts uterine blood vessels, thus reducing the amount of blood flow to the fetus, and also adds the oxygen blocker carbon monoxide to the blood flow, which decreases the amount of oxygen available to the baby

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