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If the person was not engaged in an illegal act, you have no right to interfere with what they were doing. Your opinion counts for nothing in this case as you have no license and this isn't your patient. People have been shot for not minding their own business. Sure smoking is not healthy for anyone but in an open public area where it's allowed, you have no right to interfere.
Smoking while pregnant is not illegal. While stupid and unhealthy, it's not illegal and as such, the child in this case is the responsibility of the mother; not your respoinsibility. You can't protect people from themselves as I suspect that you do some things that are not the healthiest either. Perhaps you are the type to walk into a restaurant and tell any overweight person about eating too.