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This would be consistent with the findings of one study examining impulsivity across the menstrual cycle and finding that women tend to be less impulsive, a behavioral construct that is highly relevant to the concept of reward-seeking, in the high-estradiol late follicular phase relative to the low-estradiol early follicular phase [27]

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Smoking in pregnancy has decreased in high-income countries but is still increasing in low-to-middle-income countries 7