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When Swenson was ready to give birth in April 1958 on a 12-bed ward at Bostons Lying-In Hospital, she watched as women received a cocktail of scopolamine and morphine, designed to create twilight sleep, during which they would feel less pain and, in theory, forget any pain they did experience

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7, 8 Our recent work offers new insights into how this problem could be addressed and suggests PWLs should be refreshed urgently and accompanied by positive cessation advice

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Limitations Existing evidence is sparse, likely owing to the low prevalence of EC use among PWNS