Background: Pregnancy is supposed to be a time of peace and safety. It is a time where the family turns its thoughts towards raising the next generation and growing a healthy baby. Objectives: The aim of this study was to assess neonatal outcomes among passive smoker pregnant women. Subject and Methods: This case – control study carried out at delivery room in Al-Azhar University Hospital in new Damietta city. The study subjects were purposively selected and consisted of 216 pregnant women at labor which were categorized into 2 groups: exposed to passive smoking, not exposed to passive smoking.Tool for data collection were: An interview schedule and assessment sheet utilized to collect the necessary data. Results: The resultsof this study revealed about (76.9%) of women were exposed to passive smoking in their homes and (57.4%) the smokers were their husbands, (54.6%)  of them had preterm birth,. A significant relation was found between the PS and related independent variables among the studied pregnant women. Recommendations: the study recommended the development and dissemination of training courses and education programs for workers in health care settings and antenatal clinics to raise awareness of the seriousness of exposure to PS among pregnant women and their families.
Conclusion: It was concluded that exposure to PS during pregnancy was common during pregnancy had adverse neonatal outcomes.