ABSTRACT
To determine the proportion of passive tobacco smoking during pregnancy and estimate the level of knowledge and practices regarding Passive tobacco smoking and its adverse fetal outcome. A community based cross sectional survey was conducted in four union councils of Malir Town. This is a small semi urban community of 77216 population. Currently pregnant women were interviewed regarding passive tobacco smoking consumption and their knowledge about its adverse fetal outcome. A semi structured questionnaire was used during June to August 2011. Pregnant women either exposed or not exposed to passive tobacco smoking were interviewed for their knowledge and practices regarding its impact as adverse fetal outcome. A total of 190 mothers were interviewed. In the study 133 [70%] women were found subjected to passive tobacco smoking. About [85.5%] exposed to passive tobacco smoking were knowledgeable about adverse effect of maternal passive tobacco smoking on fetus. The fetal adverse effects comprehend by mothers included stillbirth 35 [63.6%], small size baby 65 [100%], fetal congenital abnormality 33 [86.6%]. The proportion of passive smoking exposure during pregnancy was 70% and 85.5% mothers were knowledgeable regarding Passive Smoking exposures and adverse fetal outcome including stillbirth 63.6%, small size baby 100%, fetal congenital abnormality 86.8%