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A meta-analysis of digital interventions to support smoking cessation in pregnancy found computer-based (OR=3.06, 95% CI: 1.287.33) and text-message (OR=1.59, 95%CI: 1.072.38) interventions were the most effective digital platforms when compared to control groups 56

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Current guidance from the American College of Obstetricians and Gynecologists, ENSP, NICE, IPCRG and NCSCT, based on available evidence, is that pregnant women who have not been able to quit smoking can use NRTs to support cessation, provided they have been informed of the risks and benefits 11-13,45,46