Pregnant Smokers

Pregnant Smokers




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Pregnant Smokers

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How Can Smoking Harm You and Your Baby?

Your baby may be born too small, even after a full-term pregnancy. Smoking slows your baby’s growth before birth.
Your baby may be born too early (premature birth). Premature babies often have health problems. 5
Smoking can damage your baby’s developing lungs and brain. The damage can last through childhood and into the teen years. 4
Smoking doubles your risk of abnormal bleeding during pregnancy and delivery. This can put both you and your baby in danger. 5
Smoking raises your baby’s risk for birth defects, including cleft lip, cleft palate, or both. A cleft is an opening in your baby’s lip or in the roof of her mouth (palate). He or she can have trouble eating properly and is likely to need surgery. 1 , 4
Babies of moms who smoke during pregnancy—and babies exposed to cigarette smoke after birth—have a higher risk for SIDS. 1


How Can a Premature Birth Harm Your Baby?
How Can Quitting Help You and Your Baby?
Support for Quitting During Pregnancy

Centers for Disease Control and Prevention. Tobacco Use and Pregnancy [last updated 2017 Sep 29; accessed 2018 Mar 22].
Centers for Disease Control and Prevention. Pregnant? Don’t Smoke! [last updated 2017 Nov 13; accessed 2018 Mar 22].
National Cancer Institute. 4 Reasons Why Quitting Matters When You’re Pregnant [accessed 2018 Mar 22].
U.S. Department of Health and Human Services. Let’s Make the Next Generation Tobacco-Free: Your Guide to the 50th Anniversary Surgeon General’s Report on Smoking and Health. [PDF – 795KB] Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014 [accessed 2018 Mar 22].
National Cancer Institute. Smoking, Labor, & Delivery: It’s Complicated [accessed 2018 Mar 22].
Centers for Disease Control and Prevention. Preterm Birth [last updated 2017 Nov 27; accessed 2018 Mar 22].
Been JV, Lugtenberg MJ, Smets E, van Schayck CP, Kramer BW, Mommers M, Sheikh A. Preterm Birth and Childhood Wheezing Disorders: A Systematic Review and Meta-Analysis. PLOS Medicine 2014 Jan 28. DOI: 10.1371/journal.pmed.1001596 [accessed 2018 Mar 22].
Harju M, Keski-Nisula L, Georgiadis L, Räisänen S, Gissler M, Heinonen S. The Burden of Childhood Asthma and Late Preterm and Early Term Births. The Journal of Pediatrics 2014;164(2):295–9 [accessed 2018 Mar 22].
U.S. Department of Health and Human Services. A Report of the Surgeon General. How Tobacco Smoke Causes Disease: What It Means to You. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2010 [accessed 2018 Mar 22].
National Cancer Institute. Smoking & Your Baby [last updated 2019 Jan 28; accessed 2019 Jan 25].



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Most people know that smoking causes cancer and other major health problems. And smoking while you’re pregnant can cause serious problems, too. Your baby could be born too early, have a birth defect, or die from sudden infant death syndrome (SIDS). Even being around cigarette smoke can cause health problems for you and your baby. 1
It’s best to quit smoking before you get pregnant. But if you’re already pregnant, quitting can still help protect you and your baby from health problems. It’s never too late to quit smoking. 2
If you smoked and had a healthy pregnancy in the past, there’s no guarantee that your next pregnancy will be healthy. When you smoke during pregnancy, you put your health and your baby’s health at risk. 3
Smoking can cause fertility problems for you or your partner. Women who smoke have more trouble getting pregnant than women who don’t smoke. In men, smoking can damage sperm and contribute to impotence (erectile dysfunction, or ED). Both problems can make it harder for a man to father a baby when he and his partner are ready. 3 , 4
If you smoke during pregnancy, you are more likely to give birth too early . A baby born 3 weeks or more before your due date is premature. 5 Babies born too early miss important growth that happens in the womb during the final weeks and months of pregnancy. 6
The earlier a baby is born, the greater the chances for serious health problems or death. Premature babies can have: 6 , 7 , 8
Premature babies may need to stay at the hospital for days, weeks, or even months. 5
Amanda B. smoked while she was pregnant. Her baby was born 2 months early and was kept in an incubator.
“I’ll never forget her tiny, little cry. It wasn’t like the cries you hear; you know—a loud, screaming, typical baby cry. It was just this soft, little cry.”
The best time to quit smoking is before you get pregnant, but quitting at any time during pregnancy can help your baby get a better start on life. Talk to your doctor about the best ways to quit while you’re pregnant or trying to get pregnant.
Most pregnant women who smoke want to quit, but quitting isn’t always easy during pregnancy. What’s more, if you’re pregnant and still smoking, you may feel ashamed and alone.
The right kind of support can help a pregnant woman get through the unique challenges of quitting during this phase of life. Special guidance is available for you and the people around you. These resources include:
Quitting smoking to protect the health of you and your baby is one of the most important things you can do. If you are pregnant or planning to get pregnant, talk to your doctor or call 1-800-QUIT-NOW to get started.
Amanda B. smoked while she was pregnant. Her baby was born 2 months early and was kept in an incubator.
“I’ll never forget her tiny, little cry. It wasn’t like the cries you hear; you know—a loud, screaming, typical baby cry. It was just this soft, little cry.”
Staying smokefree is important. Tobacco smoke contains a deadly mix of more than 7,000 chemicals. 9 When your child is not exposed to smoke, you can expect him or her to have: 10
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Pregnant or Planning to Have a Baby
Real Stories: Pregnancy Problems Featured in Tips ®
Real Stories: Pregnancy Problems Featured in Tips ®

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In 2010, data from 27 PRAMS sites, representing 52% of live births, showed that among women with recent live births: *
If you’re pregnant or planning to have a baby, you probably know that smoking cigarettes is a health threat for you and your baby. Many women make it a goal to quit during this time in their lives.
It’s most helpful for you and your baby to quit smoking before you get pregnant. But if you’re already pregnant, quitting can still help protect you and your baby from health problems.
Health problems caused by smoking cigarettes can be serious. For example, your baby can be born too early or have a birth defect. And even if you smoked cigarettes and had a healthy pregnancy in the past, that does not mean it’s safe to smoke during your next pregnancy. When you smoke cigarettes during pregnancy, you put your health and your baby’s health at risk.
Some women might think it is safe to start smoking again after their baby is born. But your baby is not out of harm’s way.
Though quitting smoking can be hard, the benefits are worth it!
Learn what percent of people currently smoke cigarettes , both in the United States overall and among specific populations.
Learn the real stories of families who suffered health problems related to smoking during pregnancy.
Meet Amanda B. Amanda, age 30, lives in Wisconsin and began smoking in fifth grade. She smoked during pregnancy, and her baby was born 2 months early. Her tiny girl spent weeks in an incubator.
Learn more about all Tips participants in our Real Stories section.
Learn the real stories of families who suffered health problems related to smoking during pregnancy.
Amanda B. smoked while she was pregnant. Her baby was born 2 months early and was kept in an incubator.
“I’ll never forget her tiny, little cry. It wasn’t like the cries you hear; you know—a loud, screaming, typical baby cry. It was just this soft, little cry.”
Learn more about all Tips participants in our Real Stories section.
The right kind of support can help pregnant people get through the unique challenges of quitting during this phase of life. Special quitting help and guidance is available for you and for the people around you. Resources include:
Amanda B. smoked while she was pregnant. Her baby was born 2 months early and was kept in an incubator.
“I’ll never forget her tiny, little cry. It wasn’t like the cries you hear; you know—a loud, screaming, typical baby cry. It was just this soft, little cry.”
To receive email updates about this page, enter your email address:


Home Quit Smoking Resources Smoking and Pregnancy: What You Need to Know
Smoking and Pregnancy: What You Need to Know
When you’re pregnant, protecting your baby is your number one priority. Even if the risks of smoking to you weren’t enough to encourage you to quit, stopping smoking is essential if you want to avoid harming your baby. Thankfully, plenty of help is available.
© Copyright 2016 - Tobacco-Free Life
Tobacco smoke is a toxic mix of over 7,000 chemicals, and about 69 of them are known carcinogens. For any smoker, the continued inhalation of this mixture of chemicals leads to a multitude of health problems, including (but not limited to) lung cancer and other cancers, heart disease, chronic obstructive pulmonary disease (COPD) and strokes. If you smoke when you’re pregnant , you expose your baby to this mixture of harmful chemicals, and as you may expect, this poses some health risks to your baby. This, above all, is why smoking and pregnancy is not a good combination, and why you should aim to quit as soon as possible.
Smoking during pregnancy can lead to premature birth, birth defects and even the death of the infant, according to the CDC .
Women who smoke during pregnancy are more likely to have a miscarriage than other mothers, and can cause babies to be born too early or have a low birth-weight. Smoking both during and after pregnancy also increases the risk of sudden infant death syndrome (SIDS). It can also affect the placenta, which is integral to the baby’s survival during pregnancy, and may possibly lead to it separating from the womb too early. Birth defects like cleft lips are also more common in babies born to smokers.
Although smoking during pregnancy is dangerous, quitting smoking is very difficult and some mothers do continue to smoke while pregnant. Statistics from the Pregnancy Risk Assessment and Monitoring System show that in 2011, around 10% of women smoked during the last third of their pregnancy. About 55% of those who smoked before getting pregnant quit during pregnancy, but unfortunately about 40% of those who quit started again before the baby was 6 months old.
This shows that most mothers who smoke successfully quit upon learning that they’re pregnant, but it does also reveal a problem in that about 1 in 10 mothers continue to smoke while pregnant. However, the high quit-rate for pregnant mothers shows that it is possible to quit smoking while you’re pregnant, especially if you use as much support as you can during the process.
If you find out you’re pregnant but you still smoke, quitting as soon as possible is the best thing you can do for your baby. Unfortunately, even with the added motivation to protect your baby, quitting smoking isn’t easy.
Learning some tips for quitting smoking during pregnancy can help maximize your chances of success:
Quitting smoking isn’t easy, but if you plan your approach, use as much support as you can get and keep your baby’s health in mind, you’ll give yourself the best chance of staying smoke-free.

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