Smoking & Vaping During Pregnancy: Risks & Myths

For many women planning to start a family, the dream of quitting smoking often runs parallel to the excitement of pregnancy. Yet, the habit can be incredibly stubborn, with “I’ll start next Monday” becoming a familiar refrain. It’s a challenging dissonance for anyone who considers themselves strong-willed and goal-oriented. However, the decision to bring a child into the world carries a profound responsibility—first and foremost, for their life and health.

Overcoming the urge to smoke requires cultivating self-control and remembering that the primary victim of this habit is the unborn child. Acute cravings typically last only 10-15 minutes; enduring these moments is key to breaking the addiction. Support from family, spending time with non-smokers, and taking walks in fresh air can be powerful distractions. Ultimately, the strength of a responsible and caring mother is greater than any addiction.

The Myth of “Safe” Vaping During Pregnancy

In the last decade, vaping has emerged as a trendy alternative, often marketed or perceived as safe for the fetus. However, the World Health Organization (WHO) has raised alarms. In 2025, WHO assessed the scale of e-cigarette use, revealing over 100 million users globally, including at least 15 million adolescents. While global tobacco use has declined by 27%, missing the 2025 target of 30%, the rise of vaping presents a new challenge.

Scientific research into the effects of e-cigarettes on pregnancy has debunked the safety myth. Studies show that vaping during pregnancy is associated with high risks similar to traditional smoking, including:

• Intrauterine Growth Restriction: The fetus may not grow at a normal rate inside the womb.
• Low Birth Weight: Babies may be born smaller than average, which can lead to health complications.
• Preterm Birth: Increased risk of delivering the baby too early.

Research indicates these risks are not significantly lower than those for women who smoke conventional cigarettes. E-cigarettes still deliver substantial amounts of nicotine and release highly reactive oxidative free radicals that can damage fetal cells. Any amount of nicotine during pregnancy is dangerous for the developing fetus.

Therefore, experts strongly recommend that all pregnant women abstain from all tobacco and nicotine products, including e-cigarettes. Relying on luck to avoid consequences is a gamble with a child’s future. Remember, you are responsible for the life you are giving.