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Both are most likely the result of prolonged fetal hypoxia, which is produced by increased placental vascular resistance, decreased blood flow to the fetus, and elevated carboxyhemoglobin levels in the maternal and fetal circulatory systems [26]

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and 137 were smokers, accounting for 12.6 percent

The images are part of a new campaign announced by the Food and Drug Administration and the Department of Health and Human Services on Wednesday to reduce tobacco use, which is responsible for about 443,000 deaths per year

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