The New Zealand College of Midwives has reassured expectant mothers that paracetamol remains the safest option for managing pain and fever when used as directed, amid recent international headlines raising concerns about paracetamol use during pregnancy,
Concerns about paracetamol’s safety were recently raised by members of the Trump administration.
President Donald Trump announced that the US Food and Drug Administration will notify doctors that the use of Tylenol during pregnancy can be associated with a “very increased risk of autism.”
Known as acetaminophen globally, or by brand names like Panadol in New Zealand and Tylenol in the USA, paracetamol has been a trusted medication for decades.
Experts say there are multiple causes of autism, and the science showing a connection between autism and Tylenol is not settled.
The New Zealand College of Midwives emphasises that these claims are not supported by high-quality scientific evidence.
Alison Eddy, Chief Executive of the College, stated, “Paracetamol is widely considered the first-line, safest option for pregnant women who require pain relief or fever management. Used at the lowest effective dose for the shortest necessary time, there is no evidence of risk to babies.”
Untreated fever or severe pain during pregnancy can pose risks to both mother and baby, making safe pain relief critical. Alternatives like ibuprofen are not recommended due to proven risks in pregnancy.
The College advises pregnant women to follow dosage instructions on paracetamol packaging and consult their midwife, GP, or obstetrician for ongoing concerns.
The College also urges expectant mothers to rely on trustworthy New Zealand health sources, such as Health New Zealand, Medsafe, HealthInfo, Healthify, or their maternity healthcare provider, rather than international political commentary.
“We encourage expectant mothers not to be swayed by overseas headlines. Discuss any concerns directly with your LMC or maternity healthcare provider,” Eddy advised.
Pregnant women in New Zealand can continue using paracetamol with confidence, supported by robust, peer-reviewed science and international best practices.
