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Hannah Cook, clinical research midwife at the trust, said: "We know that it can be a hard habit to break which is why investigating different approaches and methods is a valuable exercise." NRT, such as nicotine patches, used alongside behavioural support, has been shown to be effective in helping people to quit smoking, but there is less evidence of it being effective in pregnancy

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Cigarette smoke is a complex mixture of over 7,000 chemicals, and several of them affect blood glucose and insulin function through different pathways