Maternal smoking remains a significant public health concern, with adverse consequences for maternal, fetal, and child health. This paper explores the health impacts of maternal smoking, including its immediate effects on pregnancy outcomes and long-term implications for child development. Evidence-based interventions, such as behavioral counseling, pharmacotherapy, and community programs, are reviewed for their effectiveness and challenges in real-world settings. Emerging models, including digital health tools, artificial intelligence-driven interventions, and integrated care approaches, are highlighted as promising innovations to address existing gaps in accessibility, personalization, and scalability. The discussion emphasizes the need for holistic, patient-centered strategies that prioritize high-risk populations and address social determinants of health. Recommendations are provided for policymakers, healthcare providers, and researchers to strengthen smoking cessation efforts and promote equitable implementation of interventions. By leveraging evidence-based strategies and innovative models, the paper underscores the potential to significantly reduce maternal smoking and improve public health outcomes.