Because of the high prevalence of smoking in pregnant women in Oklahoma, the Oklahoma State Medical Association has received a grant funded by the Robert Wood Johnson Foundation to conduct a project aimed at system-level changes that promote smoking cessation. The Smoke-Free Beginnings project is emphasizing practical strategies that can be easily integrated into routine practice. Join colleagues statewide in thirty two different practices offering prenatal care in assisting pregnant women to live free of tobacco addiction. To participate, or for more information, please contact Sarah Jane Carlson at the Oklahoma State Medical Association at 405.843.9521 or 800.522.9452 or email at Carlson@osmaonline.org. Our newborns and mothers will benefit greatly from this project, and the state of Oklahoma will be a leader in the development of a system-wide intervention to aid in the dissemination of the Best Practice Guidelines.