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For the most part, experts caution pregnant women to avoid exposure to hookah smoke, because it poses many health risks to the baby. "It is very clear that being exposed to smoke from hookahs (second hand smoke) causes many of the same effects as being exposed to second hand smoke from cigarettes," says Scott E. Sherman, co-chief of the Section on Tobacco, Alcohol and Drug Use in the Department of Population Health at New York University Langone.