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88 In addition, the autoimmune response to elastin fragments, which develops after chronic tobacco smoking, points to a certain immunogenic activity of elastin-degradation products on DC-mediated adaptive immunity

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Addressing tobacco use in maternity care settings Given the importance of tobacco use on pregnancy outcomes, all the healthcare professionals, especially obstetricians and midwives, must be prepared to identify and support pregnant smokers with quitting using evidence-based treatments as a standard of care in maternity care settings 3,5,11,12,46,48