Creation of works of art as a form of video requires initial idea works. The idea could include objects and nature, events or history, technical process, personal experience or studies. Premature art video works originated from the phenomenon of premature babies due to the smoke of cigarettes smoked by pregnant women or because of exposure to cigarette smoke is inhaled by pregnant women. The phenomenon will be poured in the form of video art works of art that provide information about the effects of hazards and the effects of cigarette smoke is bad for the fetus. Premature art video describes the phenomenon of pregnant women who smoke and are exposed to cigarette smoke that eventually can cause the fetus to be born prematurely. Exposure as to the nature of the video that will be created by using the concept of causality in the system is called the index mark on semiotic. The concept of causality or causal dissected into 2-channel video for presentation. The first video was the cause and the second video into effect. The content of each video is a representation of the phenomenon that is the background of this creation. So from the second video then this will be a concept of causality when combined.