Several South Dakota-based focus groups and ongoing state research indicates that women, particularly young mothers, have some significant misconceptions with regard to the dangers of smoking while pregnant, and exposing their infants and children to secondhand smoke. That, combined with the realities of not smoking in a cultural environment where smoking is still widely accepted, and the difficulties they often face when they have quit and/or are trying to quit or encouraging family and friends to quit, is an ongoing challenge that reveals the conflict between being a parent and wanting to protect their children, and the deadly grip of commercial tobacco addiction.

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