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Although the link between smoking during pregnancy and ASD isnt clear, smoking has been pregnancy complications, like premature rupture of membranes of ectopic pregnancy stillbirth miscarriage premature or preterm delivery low birth weight and poor fetal growth birth defects, like cleft lip or cleft palate brain and lung damage sudden infant death syndrome (SIDS) increased ear and lung infections asthma The underlying causes of ASD arent fully understood, but other factors during pregnancy may increase a babys chances of developing ASD