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Quote from royal collage of midwives: “All midwives and maternity support workers should be confident and competent in discussing smoking in pregnancy. Nicotine Replacement Therapy [e.g., nicotine patches, nicotine gum] is safe in pregnancy and should be provided in line with evidence-based protocols to women and their partners. E-cigarettes contain some toxins, but at far lower levels than found in tobacco smoke. If a pregnant woman who has been smoking chooses to use an e-cigarette (vaping) and it helps her to quit smoking and stay smokefree, she should be supported to do so. If a woman has switched completely to vaping and is not smoking at all, she should be recorded as a non-smoker. Based on the available evidence on e-cigarette safety, there is no reason to believe that use of an e-cigarette has any adverse effect on breastfeeding.”