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The House passed HB 778 on Wednesday

Fronto leaf : Refers to wrapper-grade whole leaf tobacco that will be cut or torn into smaller sections to be used as wraps, commonly known as "blunt wraps." Fronto is typically thinner and lighter compared to the leaf that would be used for grabba, making it ideal for use as a wrapper

al., 2003) Postnatal tobacco exposure Increased risk of otitis media, pneumonia, asthma (DiFranza et al., 2004) Public Health Implications of Smoking During Pregnancy In US, maternal smoking is estimated to be responsible for: 30% of small for gestational age babies, 10% of preterm babies, and 5% of infant deaths (Salihu et al, MCH Journal 2003) Benefits of Cessation Early cessation is best: Women quit quit smoking by 16 weeks gestation have normal birth weight infants (MaCarther et al, 1988) Women who quit smoking by 30-36 weeks have near normal birth weight infants (Ahlsten et al., 1993) Smoking Reduction may also be beneficial: 50% reduction in cotinine has been shown to improve birth weight (Li et al., 1993) Objectives Discuss natural history of smoking behavior during pregnancy Discuss treatment strategies Psychosocial Pharmacotherapy Discuss areas of future research Natural History of Smoking During Pregnancy 25% spontaneously quit smoking after learning of pregnancy (Floyd et al., 1993