Always consult with your doctor before considering the use of nicotine replacement therapy while pregnant or breast-feeding. NRT is believed to be safer than smoking, however the risks to a fetus or nursing child are not fully known. Making a serious attempt to quit cold-turkey is almost always the first step. CONSULT WITH YOUR DOCTOR FIRST before using NRT. It is probably best to try either the gum or lozenge to avoid the steady nicotine concentrations in the blood that result from the patch.
Benowitz, N.L., Dempsey, D.A., Goldenberg, R.L., Hughes, J.R., Dolan-Mullen, P., Ogburn, P.L., Oncken, C.L., Orleans, C. Tracy, Slotkin, T.A., Whiteside Jr, H. Pennington & Sumner Yaffe. The use of pharmacotherapies for smoking cessation during pregnancy.Tob Control 2000;9:iii91-iii94.