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27 Similarly, a study from Sweden found that heavy smoking during pregnancy increased the risk of having an extremely preterm baby (born before 28 weeks gestation) by 91%

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Comparing Treatment Approaches Recent systematic reviews show that: Acupuncture alone: 30-50% success rate at 6 months Nicotine patches alone: 20-40% efficacy Prescription medications: 25-45% success rate Acupuncture + counselling: 45-60% success rate Understandings of Mechanisms Clinical studies indicate that acupuncture acts through several neurobiologic mechanisms: Dopamine regulation : Modulates reward pathways without creating new dependencies Endorphin release : Natural pain and stress relief that reduces the need for nicotine's mood effects GABA activation : Enhances the brain's natural calming mechanisms Stress hormone reduction : Lowers cortisol levels that often trigger smoking urges Who Should Consider Acupuncture for Smoking Cessation

At the national level, the Indian government implemented the Cigarettes and Other Tobacco Products Act (COTPA) in 2003 and followed this with the ratification of the World Health Organizations Framework Convention on Tobacco Control (WHO FCTC) in 2004 17

This review also emphasizes the necessity for continuous research and development in this area

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