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This affects the growth and development of the baby and increases the risk of: Miscarriage Ectopic pregnancy Birth abnormalities - cleft lip and palate, heart defects, shortened limbs Stillbirth (risk increased by 50%) Unexplained bleeding during pregnancy Placental abruption (a life-threatening condition where the placenta detaches prematurely before the baby's birth) Fetal distress during labour and birth Low birthweight Premature birth Neonatal death (risk increased by 20%) Babies who are small at birth due to smoking are much weaker and are poorly developed

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He has served as Chief Medical Officer at several health plans including Emblem, Fidelis, and Health Republic, and he has long been one of the nations foremost proponents for greater emphasis on smoking cessation in managed care