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E-cigarettes and the ob/gyn: Key safety information for prenatal counseling


Dr. Phelan is Professor, Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque. She is also a member of the Contemporary OB/GYN Editorial Board.

Ms. Mahoney is Director, the Providers Partnership Project, American College of Obstetricians and Gynecologists, Washington, DC.

Neither author has a conflict of interest to disclose with respect to the content of this article.



Until very recently, the discussion of tobacco use with patients, especially pregnant patients, was straightforward: No use was the best use.

Counseling and patient support, stronger tobacco control laws, and other measures have resulted in a slow but steady decline in prenatal cigarette use (from 18.4% in 1990 to 12.3% in 2010).1 However, the emergence of novel nicotine delivery vehicles in the United States has complicated the tobacco control landscape. Table 1 outlines these novel products, which generally contain either tobacco-derived or synthetically produced nicotine and are not combusted.2-5 

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