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This affects the growth and development of the baby and increases the risk of: Miscarriage Ectopic pregnancy Birth abnormalities - cleft lip and palate, heart defects, shortened limbs Stillbirth (risk increased by 50%) Unexplained bleeding during pregnancy Placental abruption (a life-threatening condition where the placenta detaches prematurely before the baby's birth) Fetal distress during labour and birth Low birthweight Premature birth Neonatal death (risk increased by 20%) Babies who are small at birth due to smoking are much weaker and are poorly developed