We analysed the effect of exposure to tobacco smoke during pregnancy o
n fetal growth parameters in 129 term newborns. Children were classifi
ed into four depending on exposure on the basis of a questionnaire com
pleted by the mother. The results confirmed that tobacco smoking reduc
ed weight, length, cranial and thoracic perimeters at birth when expos
ure was due to either active or passive smoking. Weight deficits of in
fants whose mothers smoked heavily (458 g) were higher than those whos
e mothers were exposed to passive smoking (192 g). We conclude that pa
ssive smoking is a very important variable and should be taken into ac
count in any study of neonatal growth parameters.