Medical Consensus on E-Cigarettes During Pregnancy
E-cigarettes (vapes) are NOT considered safe for use during pregnancy. Major medical organizations, including the American College of Obstetricians and Gynecologists (ACOG), the Centers for Disease Control and Prevention (CDC), and the American Academy of Pediatrics (AAP), strongly advise pregnant individuals to avoid all e-cigarettes and vaping products.
Key Risks Identified by Doctors
- Nicotine Exposure: The primary risk factor. Nicotine readily crosses the placenta, concentrating in the developing fetus. This exposure can:
- Harm fetal brain and lung development.
- Increase the risk of preterm birth and stillbirth.
- Cause low birth weight.
- Disrupt development of vital organs.
- Harmful Constituents: E-cigarette aerosol contains potentially harmful substances beyond nicotine, such as ultrafine particles, volatile organic compounds, heavy metals (e.g., lead, nickel), and flavoring chemicals with unknown prenatal effects.
- Gateway Risk: Using e-cigarettes during pregnancy may increase the likelihood of transitioning to traditional cigarette smoking or using other tobacco products.
Comparing Smoking Traditional Cigarettes
While quitting all nicotine products is ideal, doctors emphasize:

- Smoking traditional cigarettes is MORE harmful than vaping due to the additional high levels of tar and numerous other known carcinogens from combustion.
- However, vaping is NOT a safe alternative to smoking during pregnancy. Nicotine itself poses significant dangers to fetal development regardless of the delivery method.
What Doctors Recommend You Do Now
The safest choice is complete abstinence from all tobacco and nicotine products, including e-cigarettes, throughout pregnancy.
- If you currently vape or smoke:
- Tell your doctor/OB-GYN immediately. Be honest about your usage.
- Quit completely as soon as possible. Medical guidance significantly increases your chances of success.
- Use FDA-approved cessation methods: Ask your doctor if therapies like nicotine replacement therapy (NRT – patches, gum, lozenges) are appropriate for you under medical supervision. Do NOT use e-cigarettes as a cessation tool during pregnancy.
- If you don’t use nicotine products: Continue to avoid e-cigarettes and secondhand aerosol/vapor.
Essential Takeaway
There is no safe level of nicotine exposure for a developing baby. Vaping during pregnancy exposes the fetus to nicotine and other potentially harmful substances. Always prioritize consulting your healthcare provider for personalized support to quit nicotine completely and ensure the healthiest possible pregnancy outcome.