A major new scientific review has found no credible evidence that using acetaminophen during pregnancy increases the risk of autism, ADHD or intellectual disability in children.
The results are based on an extensive systematic review published in The Lancet Obstetrics, Gynaecology & Women’s Health, a leading peer reviewed journal specializing in pregnancy and child health research. Researchers examined data from more than 40 human studies conducted across multiple countries.
What the Researchers Analyzed
The review focused on high quality human evidence, including large population datasets and family based research designs.
Key Elements:
- Long term population cohort studies involving millions of pregnancies
- Sibling comparison studies to account for shared genetics and home environment
- Statistical adjustments for factors such as maternal illness, infections and socioeconomic status
After controlling for these variables, earlier reported links between prenatal acetaminophen use and neurodevelopmental conditions became weak or disappeared entirely.
What the Conclusions Mean:
Researchers concluded that current human evidence does not support a causal relationship between prenatal acetaminophen exposure and autism or ADHD. This directly challenges concerns raised by earlier observational studies that did not fully address confounding factors.
Acetaminophen, commonly known by brand names like Tylenol, remains one of the most commonly used medications during pregnancy for managing pain and fever.
Medical guidance remains unchanged. Organizations such as the American College of Obstetricians and Gynecologists and the European Medicines Agency continue to recommend acetaminophen as a first line option when medication is needed during pregnancy.
Evidence Overview:
| Evidence Type | Key Finding |
| Population studies | No consistent association after adjustments |
| Sibling comparisons | No increased neurodevelopmental risk |
| Confounder-controlled models | Associations largely disappear |
Overall, the review provides strong reassurance for expectant parents and clinicians relying on acetaminophen as part of routine pregnancy care.