Pregnancy is a season filled with big decisions, many of them made out of deep love and a desire to protect your baby. If you smoke or vape, you may already be wondering how it could affect your pregnancy and your child’s health. While quitting can feel overwhelming, understanding the risks is an important first step toward making informed, supportive choices for yourself and your baby.
How Smoking Affects Your Unborn Baby
When you smoke during pregnancy, whether it’s cigarettes, e-cigarettes, vaping, or cigars, harmful chemicals enter your bloodstream and reduce the amount of oxygen and nutrients reaching your baby. Oxygen is essential for healthy growth and development, and when supply is limited, it can impact your baby in serious ways. Smoking during pregnancy has been linked to:
- Slower growth and organ development
- Low birth weight
- Increased risk of birth defects, such as cleft lip or cleft palate
- Reduced movement in the womb after smoking due to low oxygen levels
- Impaired brain and lung development
- Decreased development and function of the placenta
These effects can begin early in pregnancy and may continue to impact your child after birth. For a quick, easy-to-read overview, you can download our Risks of Smoking During Pregnancy flyer.

Pregnancy Complications Linked to Smoking
Smoking does not only affect your baby. It can also increase health risks for you during pregnancy. Research shows that smoking raises the likelihood of several serious pregnancy complications, including:
- High blood pressure
- Ectopic pregnancy
- Miscarriage
- Placenta previa
- Premature labor
- Premature rupture of membranes
These complications can lead to early delivery and long-term health concerns for both parent and baby.
The Impact of Secondhand Smoke After Birth
The risks do not stop once your baby is born. Exposure to secondhand smoke can affect your child’s health during infancy and early childhood. Babies and children exposed to smoke are more likely to experience:
- Frequent colds, respiratory illnesses, and ear infections
- Increased risk of asthma
- A higher risk of Sudden Infant Death Syndrome (SIDS)
- Effects on the part of the brain that regulates breathing
Creating a smoke-free environment during pregnancy and after birth can significantly improve your child’s health and safety.
You’re Not Alone: Help Is Available
Quitting smoking or vaping during pregnancy can be challenging, especially if it has been a coping tool during stressful moments. The good news is that support is available, and you do not have to navigate this alone. If you are looking for help quitting, these resources offer free, confidential support:
- Call (615-340-5334) or email [email protected] for info on the Freedom from Smoking Program or GIFTS Program: a program to help you stop smoking during pregnancy
- Call 800-QUIT-NOW (800-784-8669) for advice, support on quitting tobacco
- To quit vaping, text DITCHJUUL to 88709 for free support 24/7
A Final Word of Encouragement
If you smoke and are pregnant, or thinking about becoming pregnant, know this. Seeking information and support is a strong and caring step. Change does not have to happen all at once, and even small steps toward quitting can make a meaningful difference for your baby’s health.
At Hope Clinic, we are here to walk alongside you with compassion, resources, and care, no matter where you are starting from.
