Although treatment for tobacco use dependence prior to pregnancy will reduce risks to the fetus and the mother, quitting at any point in pregnancy is beneficial. Pregnant women should receive advice to quit at every visit during their pregnancy. Also, new mothers who have quit smoking should receive advice about staying quit during all postpartum and well-child visits.
Ask parents about folk remedies for teething. Although considered a folk remedy in some American Indian, South East Asian Indian and rural communities, rubbing smokeless tobacco on the gums of teething babies and toddlers results in exposure to nicotine at an early age that may have long-term health consequences. If tobacco is used as a folk remedy, work with the parents to find another method of soothing their baby's sore gums, insect bites, etc.
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