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One study found that retrospective recall of any smoking in pregnancy, an average of 14.5 years later, had 95.6% and 80.3% sensitivity when compared to positive urine cotinine tests during pregnancy and prospective reporting at the first antenatal visit, respectively, and 93.2% and 92.9% specificity, respectively, when including only women who recalled any smoking after learning of pregnancy 58

Some samples had high concentrations of other metals, including chromium and vanadium

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24" (wide) x 30" (tall)

But the bigger issue is behavior