Maternal smoking has been linked with increased risk of adverse effects for the mother and fetus. [4-7]. Negative health effects specific to pregnant women include: increased risk of miscarriage, premature rupture of membranes, and placenta previa [4, 8]. Smoking elevates the risk of infant mortality through increased incidence of preterm birth, low birth weight, spontaneous abortion, still birth and is also linked with intrauterine growth restriction (IUGR) . Maternal smoking is strongly associated with postnatal smoking, which has potential long-term effects on the health of the child, such as impaired physical and intellectual development, behavioural changes, asthma, and other respiratory infections [4-8, 10-11].