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Mark, I would not change my practice patterns based on what has come out so far (and I have used Tylenol as has every other doctor for years. HOWEVER…..

I have also been around long enough to know that ANY drug not necessary should be avoided during pregnancy because we are FAR from knowing everything. That rule includes all drugs including Tylenol.

I do think that this study along w the Boston meta deserve a close look w prospective randomized trials where nebulous factors such as self reporting are taken out of the study design. This researcher knows that, and he published this study just to make the point that there is a potential association and we need to look at this. It was published undoubtedly as well because of all of the political in the topic.

Idiots on this board who know nothing about this want Tylenol to be used broadly in PG simply because Trump said not to do so. The same is true for some going in the other direction.

We can only act on what we have as our best data. That data is ever changing….and it may or may not be changed with further findings.

I don’t recommend any drug in PG unless the benefits outweigh the risks. The benefits are usually minor for acetaminophen, but sometimes not. It’s an case by case decision for the Dr and the patient at this point. I certainly wouldn’t (and never have even before this issue came into the public eye) recommend a drug use without a strong reason