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Strengths of this study include the strict inclusion criteria using only first pregnancies and comparing heavy smokers with women who had never smoked

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2.4 Knowledge of e-cigarettes The knowledge score was assessed through the Electronic Cigarette Knowledge Questionnaire (ECQ) ( 2.5 Attitudes toward vaping The attitude score was evaluated using the Electronic Cigarette Attitude Scale (ECAS) ( 2.6 Usage (practice) and dependence Students were asked about their e-cigarette usage habits and dependence levels using the Penn State Electronic Cigarette Dependence Index (PS-ECDI) ( 2.7 Reliability of the study scales The internal consistency of the study scales was assessed using Cronbach's alpha