The article presents the results of the relationship of Smoking in women with a history of obstetric (OAA). The study is based on the results of a survey of 107 smokers and 136 non-Smoking women observed in the antenatal clinic for pregnancy. The study found an increase in the number of miscarriages and abortions in Smoking women compared to non-smokers. Detection of Smoking women of fertile age when attached to outpatient clinics, active detection of Smoking pregnant women, as well as Smoking relatives in the family, carrying out measures to reduce Smoking significantly reduce the likelihood of having children with chronic pathology.