No Causal Link: Acetaminophen in Pregnancy Not Tied to Autism or ADHD, Says Lancet Review

January 17, 2026
No Causal Link: Acetaminophen in Pregnancy Not Tied to Autism or ADHD, Says Lancet Review
  • The study seeks to counter the political noise surrounding the issue, aiming to provide robust evidence amid public discourse sparked by high-profile remarks.

  • Findings were reported in The Lancet and trace back to coverage by The New York Times, with attention to statements from political figures and health advisers.

  • The analysis pooled 43 studies, prioritizing the largest datasets and those that controlled for genetics, including sibling comparisons, to minimize bias.

  • Paracetamol remains the recommended first-line treatment for pain or fever in pregnancy, aligning with current national and international guidelines.

  • Public health officials and researchers have long worried about acetaminophen use during pregnancy, but a new Lancet review finds no causal link to autism or ADHD when high-quality evidence is considered.

  • The researchers respond to a September 2025 government claim by highlighting limitations in prior data variability and exposure/outcome definitions in earlier work.

  • A gold-standard approach was used, including long-term follow-up of five years or more and sibling comparisons to strengthen credibility.

  • The findings are framed within ongoing debate and acknowledge limitations of observational studies, such as recall bias and unmeasured confounding.

  • Stakeholders like the National Autistic Society note that media attention often outpaces corroborating research, while overall evidence remains important.

  • Earlier studies suggesting a link often had small samples or relied on self-reported data; the current analysis uses more robust methods and addresses confounding where possible.

  • Many prior associations are attributed to bias or confounding, which the new analysis aims to mitigate.

  • Public health figures criticized sensational claims and urged clinicians and the public to follow medical guidance, not political rhetoric.

Summary based on 58 sources


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