UPDATE: Major health organizations are reaffirming that pregnant women should not shy away from using acetaminophen, commonly known as Tylenol, despite alarming claims made by former President Donald Trump regarding its alleged link to autism. At a news briefing on July 10, 2023, Trump cautioned, “If you’re pregnant, don’t take Tylenol,” prompting immediate pushback from experts who emphasize that decades of research support its safe use during pregnancy.
In response to Trump’s statements, Dr. Susan Kressly, president of the American Academy of Pediatrics, condemned the misinformation, stating that it “sends a confusing message to parents and expecting parents” and harms autistic individuals. The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine have both confirmed that acetaminophen remains a first-line treatment for pain and fever during pregnancy, with benefits outweighing risks.
Research has consistently shown that acetaminophen is among the safest options to alleviate discomfort during pregnancy. However, the recent briefing did not present new data on the controversial autism claims. Experts highlight that the existing studies linking acetaminophen to neurobehavioral disorders are inconclusive and riddled with biases.
Dr. James McPartland, director of the Yale Developmental Disabilities Clinic, stressed, “Autism is complex with a multi-factorial etiology,” underscoring that there is no single cause for the condition. He emphasized the importance of treating pain and fever, noting that untreated conditions could pose serious risks to both the mother and the developing fetus.
Research indicates that high fevers during early pregnancy can significantly increase the risk of congenital defects and neurodevelopmental disorders. Conversely, managing pain effectively through acetaminophen is crucial. Dr. Allison Bryant, a maternal-fetal medicine specialist, pointed out that sometimes acetaminophen is used diagnostically to rule out serious conditions, like high blood pressure headaches.
In an urgent move, the FDA announced it will issue new guidance to physicians regarding the use of acetaminophen during pregnancy. Health Secretary Robert F. Kennedy Jr. stated that clinicians will be advised to prescribe the lowest effective dose for the shortest duration, aligning with existing medical recommendations.
Experts continue to urge pregnant individuals to consult with their healthcare providers before taking any medication. The conversation should focus on weighing the risks and benefits of acetaminophen use, especially as studies suggest possible protective effects against fever-related risks.
The confusion surrounding medication use during pregnancy adds to the stress many expectant parents feel. Clinical psychologist Dr. Elizabeth Werner emphasized the importance of individualized discussions with healthcare providers to navigate the complexities and make informed decisions.
As health organizations reiterate their support for acetaminophen, the conversation remains critical for the health of mothers and their babies. The latest developments underscore the need for accurate information to combat misinformation that could endanger public health.
For now, the consensus is clear: acetaminophen is a trusted option for managing pain and fever during pregnancy, and pregnant individuals should feel confident discussing its use with their healthcare providers to ensure their well-being and that of their unborn child.
