Tobacco smoking in pregnancy remains one of the few preventable risk factors that are associated with complications in pregnancy. Complications include: low birth weight, preterm births, fertility problems, spontaneous abortions, placental problems, and other long term implications for women and children. “Smoking during pregnancy is estimated to account for 20 to 30 percent of low-birth weight babies, up to 14 percent of preterm deliveries, and about 10 percent of all infant deaths according to American Lung Association”(American Pregnancy, 2011). “Low birth rate has been associated with coronary heart disease, type 2 diabetes, and being overweight in adulthood” (Lumley, Chamberlain, Dowswell, Oliver, Oakley, & Watson, 2008, p 2). Because of the complications, the affects of tobacco use among (TANF) eligible women are very costly to American tax payers.