Hi Joan. I don't smoke, actually. I gave up 25 years ago so I am the worst beast of all, the sanctimious ex-smoker. And if Tom's pregnant smoker were my patient, I would be doing my best to get her into our nurse specialist led stop smoking clinic, and I would do my best to help her. BUT the fact that she smokes does NOT ipso facto mean she is otherwise a bad patient, and she does deserve to have "the curse of Tom" inflicted upon her. As I say, there is a time and a place for everything. I don't know if you have had a baby, probably not I guess, but I tell you, when you are entering the second stage of labour, you will not be partiuclarly disposed to having a lecture on health education!