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Smoking is also an additive risk factor, increasing the risk already brought on by other health conditions

She said: "Rather than stigma, women need empathy and a recognition of the challenges that pregnancy can bring in terms of women's independent choices."

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When the 2009 Tobacco Control Act prohibited the use of modified risk health descriptors such as light, mild, or low tar in cigarettes, Marlboro circumvented the rule by changing the names of their Marlboro Light cigarettes to Marlboro Gold, while Marlboro Ultra Lights became Marlboro Silver and Marlboro Mild was renamed Marlboro Blue