Does long-term smoking affect the fetus?

Patient's question:

I have hit my child a few times before, and now I unintentionally got pregnant and want this child, but I have been smoking all along. What should I do? I don't want to have an abortion anymore!

Doctor's answer:

The toxic substances in tobacco, such as nicotine, can cause the small blood vessels in the uterus and placenta to constrict, placing the fetus in a state of ischemia and hypoxia. They can also hinder the implantation of the fertilized egg, leading to infertility. If pregnancy occurs, it may easily cause miscarriage. The cyanides in tobacco affect fetal growth and development, leading to congenital heart disease, cleft palate, cleft lip, intellectual disability, and other conditions. Nicotine, cyanides, and carbon monoxide can cause fetal hypoxia and malnutrition, resulting in delayed development.

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