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The proportion of daily smokers who smoked 20 to 29 cigarettes per day dropped from 34.9% in 2005 to 29.3% in 2013, while the proportion who smoked fewer than 10 cigarettes per day rose from 16.4% in 2005 to 23.3% in 2013

They accounted for various confounding variables (e.g., eclampsia and gestational diabetes), as these could potentially be related to both maternal smoking and birth defects