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The four most common teratogens are  tobacco, alcohol, medications and illegal drugs. Teratogens are substances that could harm a developing fetus by affecting growth and causing birth defects or death.
A teratogen is any medication, chemical, infectious disease, or environmental agent that may interfere with the normal development of a fetus and result in the loss of a pregnancy, a birth defect, or a pregnancy complication. There are a variety of teratogens that are relatively common. Some examples are listed below.