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Victor Klein, Northwell Health System director for quality and patient safety, obstetrics and gynecology, recommends wearing a nicotine patch and undergoing behavioral therapy before conceiving to learn coping strategies to avoid smoking or vaping during pregnancy

Cold turkey 3.4% Acupuncture/Laser 3.9% Telephone help lines 5.4% Nicotine Gum 5.7% Nicotine Patch 6.2% Zyban 7.1% Zyban + patch 7.7% Allen Carrs Easyway Seminar 53.3% (increases to 75.8% for smokers attending follow-up sessions) Some Practical Tips If You Cannot Quit If giving up smoking is not possible, you should decrease your smoking as much as possible, as well as: Fully avoid smoking in the hour before breastfeeding and while breastfeeding