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Regarding PPA, women who reported no smoking, not even a puff in the previous 7 days, were mailed a saliva cotinine test and asked to send at least one photo of the completed test

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The presence of nicotine in the bloodstream puts extra strain on the heart during anaesthesia and surgery, while carbon monoxide in the blood interferes with the delivery of oxygen throughout the body critical for proper healing (2)

Occurs when humidity exceeds safe limits