Smoking during pregnancy is one of the major concerns in child and maternal health. Statistics all over the world paints a grim picture of the situation and raises concerns about the health of the future generation. According to the Center for Disease Control and Prevention (CDC) data from a 2011 Pregnancy Risk Assessment and Monitoring System (PRAMS) that was collected from 24 states should a 10% prevalence of smoking in the last trimester of pregnancies. The research revealedthat of all women smoking, only 55% quite during pregnancy while 40% of these relapsed during the first six months of pregnancy. New figures released recently by the Health and Social Information Center (HSCIC) in the UK showed that 12% of women who gave birth classified themselves as smokers. Although the number of women smoking during pregnancy in UK has continued to rise, it still remains a major concern. These statistics are replicated in many countries all over the world, which is a concern to the world considering the health effects on the mother and the child. This study will therefore explore the health effects of tobacco use in pregnancy to both the mother and the child. This studies aims at highlighting a problem that remains pertinent to the world as a way of creating awareness and perhaps coming up with solutions to the problem.