Oregon Health & Science University (OHSU) is shedding light on how vitamin C supplementation during pregnancy could help protect babies from some of the harmful effects of maternal smoking.
The Problem: Smoking and Pregnancy
Smoking during pregnancy is known to harm fetal development, particularly the lungs, brain, kidneys, and blood vessels. Nicotine crosses the placenta, directly impacting the growing fetus and often leading to long-term respiratory issues for children born to mothers who smoke.
The Study: Can Vitamin C Help?
Researchers at OHSU, led by Dr. Eliot Spindel and Dr. Cindy McEvoy, conducted a clinical trial involving pregnant women who were unable to quit smoking. All participants received a standard prenatal vitamin with 60 mg of vitamin C, but one group also received an additional 500 mg of vitamin C daily.
Key Findings: Improved Placental Blood Flow
Using Doppler ultrasound, the team measured blood flow in the umbilical cord. They found that vitamin C supplementation improved placental blood flow in smokers, bringing it closer to the levels seen in nonsmokers. Examining placentas after birth, researchers also observed improved blood vessel development and overall placental function in babies whose mothers received extra vitamin C.
“It is clear that placental development is abnormal in women who smoke. …In this human clinical trial, it is important to note that some, but not all, abnormalities were prevented by vitamin C intake,” said Dr. Spindel.
Long-Term Benefits for Babies
Follow-up studies showed that children born to mothers who took extra vitamin C had better lung function at 3 months, 12 months, and even at age 5 compared to those whose mothers did not receive the supplement.
Limitations and Continued Risks
While vitamin C supplementation improved some aspects of placental and fetal health, it did not prevent all the negative effects of smoking during pregnancy. Risks such as premature birth, reduced brain development, and stunted growth remain, and vitamin C does not address these issues.
Why Not Just Quit Smoking?
Despite public health efforts, more than half of women who smoke continue during pregnancy. Nicotine is highly addictive, and genetic factors can make quitting especially difficult for some individuals. Importantly, the study also notes that nicotine from vaping and other products likely poses similar risks to fetal development.
What’s Next?
Vitamin C supplementation during pregnancy may help mitigate some of the harm caused by smoking, particularly by improving placental blood flow and supporting better lung function in children. However, quitting smoking remains the best way to protect both maternal and fetal health.

