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However, a previous validation study, based on a sub-cohort of the women included in the MBR register, showed that the mean nicotine dose of women who continued to use snuff during pregnancy was 46 mg/day in early pregnancy (corresponds to 56 pouches/daily) and 36 mg/day (corresponds to 34 pouches daily) among those who quit in early pregnancy

Enforcement might also be an effective deterrent: In instances when tobacco was sold to minors during the compliance tests, police were notified and fines were issued

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They consist of tobacco wrapped in a tendu or temburni leaf (plants native to Asia), and may be secured with a colorful string at one or both ends