Quitting cold turkey if you are pregnant is always the best choice. The standard recommendation is to not use NRT. The largest trial of nicotine replacement in pregnancy showed that although women quit at higher rates at first, they relapsed and began smoking again at rates similar to women who didn’t use NRT.
Medical review: Nathan Cobb, MD, September 22, 2017
References:
Cooper S, Taggar J, Lewis S, Marlow N, Dickinson A, Whitemore R, Coleman T, and Smoking, Nicotine and Pregnancy (SNAP) Trial Team. Effect of nicotine patches in pregnancy on infant and maternal outcomes at 2 years: follow-up from the randomised, double-blind, placebo-controlled SNAP trial. Lancet Respir Med. England; 2014;2(9):728-37.