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Studies show that smoking during pregnancy increases the risk of the following : Miscarriage (spontaneous abortion) Premature birth Low birthweight Some studies also suggest that smoking while pregnant is associated with the following: Damage to the babys brain and lungs caused by nicotine Birth defects (e.g., cleft lip or palate) Sudden infant death syndrome Finally, children exposed to tobacco smoke during pregnancy are more likely to develop infections (ear infections, bronchitis, pneumonia) and asthma