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Tobacco and pregnancy infographic.

Tobacco and Pregnancy (Text Version)

[Cigarette illustration with smoke covering the page]

Smoking during pregnancy is dangerous for you and your fetus. If you use cigarettes or e-cigarettes, now is the time to quit.

[Profile view of a pregnant figure, colored in shades of brown]

Quitting smoking will help you have a healthy pregnancy and a healthy baby.

[Cigarette icon with a no symbol (red circle with a red diagonal line) in front of it]

Risks for your fetus

[fetus icon]

  • Delayed growth
  • Higher chance of being born too early
  • Permanent brain and lung damage
  • Higher risk of stillbirth

Risks for your newborn

[baby icon]

  • Smaller size at birth
  • Colic with uncontrollable crying
  • Sudden infant death syndrome (SIDS)
  • Development of obesity and asthma during childhood

Risks For You

[pregnant woman icon]

  • Ectopic pregnancy (a pregnancy outside the uterus)
  • Problems with the placenta
  • Problems with your thyroid
  • Water breaking too early

Did You Know?

  • Nicotine is only one of 4,000 toxic chemicals in cigarettes.
  • Using e-cigarettes (vaping) is not a safe substitute for smoking cigarettes.
  • Other smokeless tobacco products, like snuff and gel strips, also are not safe.
  • Secondhand smoke can cause growth problems for your fetus and increase your baby’s risk of SIDS.

If you need help quitting, talk with your obstetrician–gynecologist (ob-gyn) or other health care professional. Or call the national smoker’s quit line at 1-800-QUIT-NOW. [phone icon]

The American College of Obstetricians and Gynecologists believes that pregnant women who use tobacco should receive counseling to help them quit. Your ob-gyn or other health care professional can offer advice about quitting at your first prenatal visit or at any time throughout your pregnancy.

[ACOG icon]

PFSI014: This information is designed as an educational aid to patients and sets forth current information and opinions related to women’s health. It is not intended as a statement of the standard of care, nor does it comprise all proper treatments or methods of care. It is not a substitute for a treating clinician’s independent professional judgment. For ACOG’s complete disclaimer, visit

Copyright April 2020 by the American College of Obstetricians and Gynecologists. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, posted on the internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher.