A new study in The Lancet found that paracetamol use during pregnancy does not increase the risk of autism, ADHD, or intellectual disability in children.
The study, led by researchers from City St George's, University of London, is the most rigorous analysis to date, based on 43 studies.
The research team compared pregnancies where mothers took paracetamol to those where they did not, including sibling comparison studies.
Data included 2,62,852 children assessed for autism, 3,35,255 for ADHD, and 4,06,681 for intellectual disability.
Detailed Insights:
Previous claims linking paracetamol use during pregnancy to increased risks of autism were based on studies prone to bias and insufficient data.
The sibling comparison study design helps control for shared genetics, family environment, and long-term parental characteristics.
The study used the Quality in Prognosis Studies (QUiPS) tool to evaluate the risk of bias in the included studies.
Researchers emphasize that avoiding paracetamol for significant pain or fever can expose both mother and baby to known risks.
Paracetamol is globally recommended as a first-line option for pain relief and fever reduction during pregnancy due to its favorable safety profile.
The findings support recommendations made by major medical organizations worldwide, reinforcing paracetamol as a safe option during pregnancy when taken as guided.
Key Concepts Involved:
Autism: A neurodevelopmental disorder characterized by difficulties in social interaction and communication.
ADHD: A chronic condition including attention difficulty, hyperactivity, and impulsiveness.