Is Paracetamol Really Safe During Pregnancy?

Synopsis
Key Takeaways
- Paracetamol may be linked to neurodevelopmental disorders.
- Over 50% of pregnant women use acetaminophen.
- Research analyzed data from over 100,000 participants.
- Immediate measures are needed to guide expectant mothers.
- More research is necessary to fully understand the risks.
New Delhi, Aug 16 (NationPress) Although paracetamol, also known as acetaminophen, has traditionally been the go-to pain relief option during pregnancy, recent research suggests it could be linked to neurodevelopmental disorders (NDDs) such as autism and attention-deficit/hyperactivity disorder (ADHD) in infants.
Acetaminophen stands as the most frequently utilized over-the-counter medication among pregnant women, with over 50% of expectant mothers globally relying on it for headaches, pain, or fever.
Researchers from Harvard and Massachusetts universities examined 46 studies involving data from over 100,000 participants. Among these, 27 studies found significant correlations with NDDs.
“Most studies indicated a positive association between prenatal acetaminophen usage and ADHD, ASD, or NDDs in children,” stated Andrea A. Baccarelli, the study's lead author from the Harvard T.H. Chan School of Public Health.
Acetaminophen is known to penetrate the placental barrier, potentially causing oxidative stress, hormonal disruptions, and epigenetic changes that may hinder fetal brain development, which could clarify these associations, the researcher noted.
Existing literature has also pointed to a possible connection between acetaminophen and neurodevelopmental disorders.
A 2017 investigation revealed an increased risk for ADHD in mothers who consumed acetaminophen for 22 to 28 days. Another study published in February indicated that acetaminophen exposure heightened the likelihood of ADHD, particularly in girls.
The study pointed out that despite acetaminophen being the preferred analgesic due to its relatively safer profile compared to other medications, its use should be approached with caution, especially given the potential risks to fetal development during the perinatal period.
“Immediate measures should be taken to guide pregnant women in minimizing acetaminophen intake to safeguard their children’s neurodevelopment,” Baccarelli emphasized, calling for further studies to clarify the risks involved.