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in their analysis of the cross-sectional survey of 22,962 Canadian women found that having an extreme perceived amount of life stress was predictive of the co-occurrence of alcohol use and smoking during pregnancy (RRR = 4.40 (95% CI: 1.7211.30, P = 0.0021))

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Finding Support: Compassionate Care Matters An SOGC patient-facing handout that encourages people who use substances in pregnancy to seek kind, respectful care and connect with prenatal and community supports

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and (c) the dealer had no knowledge of the employee's violation at the time of the violation and did not direct, approve, or participate in the violation