Ep. 385: Tylenol in Pregnancy: Risks, Benefits & Alternatives with Michaela Wachal, PharmD, CSP

Ep. 385: Tylenol in Pregnancy: Risks, Benefits & Alternatives with Michaela Wachal, PharmD, CSP

In this episode of The Birth Lounge Podcast, HeHe sits down with clinical pharmacist Dr. Michaela Wachal to unpack the controversy surrounding Tylenol (acetaminophen) use in pregnancy and its potential links to autism and other neurodevelopmental concerns.

Together, they dive into what the research actually says (and doesn’t say), why transparency and informed consent are so important, and how to navigate decisions around medications in pregnancy with confidence. Dr. Wachal also highlights the bigger picture, like how genetics, environmental toxins, and even maternal stress can play a role in outcomes, and why caring for yourself is just as critical as any prescription.

This conversation is packed with nuance, evidence, and practical takeaways to help you feel informed, empowered, and ready to advocate for yourself as you make decisions about your pregnancy care.

00:00 Introduction and Media Misrepresentation

01:05 Personal Story and Birth Lounge App

02:16 Empowering Prenatal Conversations

05:26 Emergency Use Authorization Episode

07:34 Interview with Dr. Michaela Wachal

09:14 Medication Safety in Pregnancy

12:37 Pharmaceutical Industry Failures

15:20 Personal Journey and Advocacy

18:55 Questioning Medical Norms

21:15 Tylenol and Toxins

23:34 Aluminum in Vaccines

27:32 The Importance of Transparency

37:05 Advocating for Education and Understanding

37:51 The Power of Asking Questions

40:21 Nesting and Preparing for Baby

43:17 Managing Fevers During Pregnancy

52:01 Environmental Toxins and Health

01:00:41 Therapies and Support for Children on the Spectrum

01:09:27 Final Thoughts and Encouragement

Guest Bio:

Michaela Wachal, PharmD, CSP, is a clinical pharmacist, Certified Specialty Pharmacist, and Clinical Accreditation Manager with nearly a decade of experience in specialty pharmacy. She holds a Doctor of Pharmacy degree from the University of Nebraska Medical Center and a Bachelor of Science in Biochemistry from Doane University. Throughout her career, she’s specialized in complex conditions including oncology, fertility, endocrinology, immunology, mental health, and inflammatory diseases—always with a passion for improving patient care, optimizing healthcare systems, and empowering women in medicine.

Michaela is also a mom of three, including one child with autism, ADHD, and anxiety, which ignited her deep interest in neurodiversity, integrative health, and individualized medicine. After navigating her own family’s challenges, she began researching functional and evidence-based approaches to support children and families living with complex needs. Online, Michaela shares insights from scientific studies on autism, ADHD, vaccines, autoimmune conditions, toxins, and more, always with a focus on helping parents make informed, evidence-based choices.

Her work blends professional expertise with personal passion, making her a trusted voice in both the pharmacy world and the parenting community.

INSTAGRAM:

Connect with HeHe on IG

Connect with Dr. Wachal on IG

BIRTH EDUCATION:

Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!

Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!

RESEARCH MENTIONED:
  • 2021 there's a call for action published supported by 91 scientists, clinicians and public health professionals across the globe recommended that pregnant women should be cautioned at the beginning of pregnancy to forego APAP unless it is medically indicated and to minimize the exposure by using the lowest effective dose for shortest possible time https://pubmed.ncbi.nlm.nih.gov/34556849/

  • Boston Birth cohort published in 2020 looked at acetaminophen metabolites in cord blood samples collected at birth and unchanged acetaminophen levels were detected in all cord plasma samples and acetaminophen burden was associated with higher odds of ADHD and ASD daignosis there was a 2.3 to 3.5 increased risk for ADHD and 1.6 to 4.1 increased risk for ASD https://pubmed.ncbi.nlm.nih.gov/31664451/

  • Recently in August Harvard did an analysis using the Navigation Guide methodology that supports evidence consistent with an association between acetaminophen exposure during pregnancy and increased incidence of Neurodevelopmental disorders. This included 46 studies with 27 reporting positive associations with the higher quality studies more likely to show positive correlations
  • https://ehjournal.biomedcentral.com/articles/10.1186/s12940-025-01208-0

  • In 2018 there was a review that showed that 9 prospective cohort studies that all suggested an association between prenatal APAP exposure and neurodevelopmental outcomes - ADHD, ASD or lower IQ and longer duration was associated with increased risk https://pubmed.ncbi.nlm.nih.gov/29341895/

  • 2022 a prospective cohort study in Pennsylvania looked at 2,423 moms using data and children who were exposed to APAP during pregnancy scored higher for child behaviors, sleep problems and attention problems https://pubmed.ncbi.nlm.nih.gov/36170224/

Keywords: Tylenol pregnancy, acetaminophen pregnancy, Tylenol autism risk, pregnancy medication safety, prenatal care, evidence-based pregnancy, maternal health, neurodevelopment, pregnancy decision making, informed consent pregnancy, pregnancy medications, Dr. Michaela Wachal, Birth Lounge podcast, pregnancy self-care, pregnancy toxins

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Ep. 236: What is Anovulation? with Alease Barnes

Ep. 236: What is Anovulation? with Alease Barnes

In today’s episode, HeHe is joined by Embryologist, Alease Barnes, to discuss an ovulation- which simply means you aren’t ovulating as expected! You will hear the reasons why this occurs in some women, how to determine if you may not be ovulating, how it impacts fertility and what to do about it! Alease shares the data around ovulation prediction kits and how to properly use them when TTC!    Guest Bio:  Alease Barnes is an accomplished Embryologist, educator and content creator. After obtaining her Bachelor's degree in Genetics from North Carolina State University, she has established herself as a skilled embryologist in the field of reproductive medicine. In addition to her hands-on work in the IVF lab, Alease is a passionate educator and content creator, leveraging her extensive knowledge to educate and advocate for fertility awareness. With a strong presence on social media platforms such as Instagram and TikTok, she has amassed a significant following and actively strives to empower individuals on their infertility journey by dispelling misinformation and providing support.   Connect with Alease on IG  (@alease_the_embryologist) Connect with HeHe on IG    Join The Birth Lounge   Save $10 on your Temp Drop Wearable Thermometer with code: FRIEND-4B3HG7P

26 Tammi 20241h

Ep. 235: Episiotomies with OBGYN, Dr. K

Ep. 235: Episiotomies with OBGYN, Dr. K

I know tearing in in birth is on your mind-- and something even scarier than tearing is having to have an episiotomy during labor! So, that's exactly what we are diving into on today's episode! HeHe is joined by Dr K, Pregnancy Specialist, to discuss everything you need to know about episiotomies! While no one wants it to be done to them, it is sometimes needed (but, not often AT ALL) and I want you to know the questions to ask to advocate for yourself if you end up being the rare case that calls for one!    Dr. K's Bio: Dr. K earned her doctorate of medicine from the University of Miami in Miami, Florida. She completed a residency in Obstetrics & Gynecology at Winthrop University Hospital in New York and a Fellowship in Maternal-Fetal Medicine at the joint program sponsored by the Perinatology Research Branch of the National Institute of Health, Wayne State University and the Detroit Medical Center in Detroit, Michigan. Currently, she works in the midwest of the United States of America. Dr. K has special interests in risk prevention & reduction for pregnant mothers, diagnosing and managing birth defects for children in the womb and encouraging healthy practices after childbirth, such as breastfeeding. She has a panache for clear, non-alarmist communication of complex ideas. Dr. K has published in high-impact peer-reviewed Obstetric Journals. She is a member of the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine. “I am a wife and mom; I welcomed my first child in fall 2020, during the COVID-19/Pandemic. I am zealous to share helpful insights and advice on all things related to pregnancy and motherhood. I believe my work as a physician is a personal assignment from God.   Connect with Dr. K on IG!   Join The Birth Lounge!  Connect with HeHe on IG! Freebie: Questions to ask your provider    Links mentioned: https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/09/prevention-and-management-of-obstetric-lacerations-at-vaginal-delivery   https://www.leapfroggroup.org

24 Tammi 20241h 34min

Ep. 234: The Importance of Understanding & Balancing your Blood Sugars with Becca Romero

Ep. 234: The Importance of Understanding & Balancing your Blood Sugars with Becca Romero

What do you know about blood sugars? Are you aware of the risks associated with high blood sugars? What about low blood sugar? Did you know that irritability is associated with out of balance blood sugars? Your blood sugars play a huge role when trying to conceive and in pregnancy! Join HeHe and Becca Romero to dive into what you need to know about balancing your blood sugars including symptoms of imbalanced blood sugars, foods that support healthy blood sugars and how blood sugar can impact egg quality!    Bio: Becca Romero is the founder of Little Life Nutrition, an online fertility nutrition practice. Becca is a licenced dietitian nutritionist and a certified nutrition specialist. With a specialized focus on addressing infertility, she offers personalized dietary and lifestyle solutions, including menstrual cycle education for women aiming to enhance their conception potential and ensure the birth of a healthy baby. She is driven by the philosophy that optimal preconception nutrition and lifestyle can shape the well-being of generations to come.   Join The Birth Lounge!    Connect with Becca on IG Work with Becca   HeHe's fave organic lube for TTC & Pregnancy, use code HEHE15 for 15% off

19 Tammi 202448min

Ep. 233: How Coffee can Impact your Hormones with Sam Briguglio

Ep. 233: How Coffee can Impact your Hormones with Sam Briguglio

In today’s episode, HeHe is joined by Dr. Samanthan Briguglio, a naturopathic doctor, to discuss how our caffeine consumption may be negatively impacting our hormones, what that does to our bodily systems and how we can effectively curb bad habits that have formed over the years! HeHe even shares about the bad coffee habits she struggles with and what steps she is taking to better support her hormonal health!      Bio: Samantha Briguglio started Walk the Natural Path Women's Health and Fertility Care because of her passion for helping women achieve their wellness and/or fertility goals! As an ND, she is licensed to treat – and teach – patients from a mindset of natural healing that treats the root cause of symptoms! Dr. B focuses in hormonal balancing and fertility support.    Join The Birth Lounge!   Connect with Dr. B Work with Dr. B   HeHe’s favorite magnesium lotion, use code HEHE10 for 10% off

17 Tammi 202455min

Ep. 232: Is Homebirth Right for You with Blyss Young, CPM

Ep. 232: Is Homebirth Right for You with Blyss Young, CPM

In today's episode, HeHe sits down with homebirth Midwife, Blyss Young, to talk about understanding if you are a candidate for homebirth. Blyss shares what type of care homebirth midwives do and how it may differ from what you find in the hospital or a birth center environment. We dive into the power that comes along with tapping into your instincts and spiritual experience of homebirth, plus how to know when youre not a good candidate for homebirth! Does having a high-risk pregnancy automatically rule you out of being a candidate for homebirth? Tune in to hear HeHe & Blyss answers all your questions!   Bio:  Blyss Young, LM CPM, is a home birth midwife, childbirth educator, placenta encapsulator and natural birth and family consultant. Through her guidance and love centered approach she supports families to birth in the ways that they feel most empowered. She is a firm believer in intuition, the sacredness and ritual of birth and the power of autonomy in birth. She has studied with both Dr. Stu Fischbein (LA's only home birth obstetrician) and many skilled midwives. She has been fortunate to learn the art of midwifery in addition to the unique skills of delivering Breech, Twins and VBACs. At the heart of all of her work is a deeply rooted belief in the brilliant design of the human body and the symbiotic relationship between baby and parent. She continues to strive to support the sacredness of birth as a rite of passage, in the hopes to resurrect lost traditions that can bring connection to our high tech low touch lives.   Join The Birth Lounge!   Connect with Blyss: https://www.birthingblyss.com/   Listen to Episode 182: Is Homebirth Safer Than Hospital Birth? Listen to Episode 142: The Beginning of Homebirth    Thrive Training Institute CPR course, use code HEHE10 for $10 off your purchase

12 Tammi 202456min

Ep. 231: Birth Control (The Book) with Allison Yarrow

Ep. 231: Birth Control (The Book) with Allison Yarrow

In today's episode, HeHe sits down with Allison Yarrow to discuss her new book, 'Birth Control: The Insidious Power of Men Over Motherhood.' What happens when hospital culture is rooted in tradition and not evidence? How does it impact patient care when incentives are set up to reward providers for doing expensive surgeries and seeing as many patients as possible, but theres no incentive for supporting unmedicated, biological labor and meeting patients where they’re at in this journey? What happens when a system that is designed to be FOR PROFIT is faced with the decision profits or people— and, they can only choose one? Join us to discuss how the hospital system was designed to produce specific results and how that may affect your labor experience!    Join The Birth Lounge!    Connect with Ali: https://allisonyarrow.com/ Order Birth Control: The Insidious Power of Men Over Motherhood     Bio: Allison Yarrow is an award-winning journalist, speaker, and author of 90s Bitch: Media, Culture, and the Failed Promise of Gender Equality (Harper Perennial, 2018), finalist for the Los Angeles Press Club book award, and Birth Control: The Insidious Power of Men Over Motherhood (Hachette/Seal Press, July 2023). She has written about health, politics, and gender for many publications including the New York Times, the Washington Post, Vox, Insider, USA Today, Time, and Newsweek. She was a national magazine award finalist, a TED resident, an Aspen Ideas Festival fellow, and a grantee of the International Women’s Media Foundation. She produced the award-winning Vice News documentary “Misconception,” and gave a TED talk called “What to Expect Post-Expecting.”

10 Tammi 202454min

Ep.230: Optimizing Your Fertility with Fertility Awareness Method with Lisa Hendrickson-Jack

Ep.230: Optimizing Your Fertility with Fertility Awareness Method with Lisa Hendrickson-Jack

Is your period your fifth vital sign? Have we been taught to ignore a very insightful patterns and messages from our bodies? Has traditional birth control inhibited young women from properly learning their bodies? Today, Lisa Hendrickson-Jack sits down with HeHe to talk about optimizing your fertility with Fertility Awareness Method. Lisa shares how traditional birth control impacts the female libido, emotional states and the risks that many of us are never told about! She also shares how you can become familiar with your bodies patterns and relearn your menstrual cycle to improve your overall health and feel confident in your reproductive health decisions!    Join The Birth Lounge!    Connect with Lisa: https://fertilityfriday.com/   Grab your Temp Drop and save $10 with code FRIEND-4B3HG7P

5 Tammi 20241h 6min

Ep. 229: Tracking Your Fertility Using Cervical Mucous with Jessie Brebner

Ep. 229: Tracking Your Fertility Using Cervical Mucous with Jessie Brebner

Welcome to 2024! This year's podcast is being aired twice weekly! We get to have twice as much fun each week and chat with twice as many brilliant people to help you have a confident and informed birth experience! This season is about helping you avoid things you don't want in labor, advocate for your goals and take back your power!    HeHe sits down with Jessie Brebner to dive into the subject of using cervical mucus as a way to track your fertility. Whether you are trying for a baby right now, or trying not to have a baby, this episode is for you! Our cervical mucus is constantly changing and those changes tell us a lot about what is happening in your body and with your fertility. Jessie shares how to learn your patterns and how to accurately identify your fertile window! Plus she dives into knowing the best times to time the deed based on your goals-- to make or not make a baby!   Join The Birth Lounge   Connect with Jessie: https://fertilitycharting.com.au/   Save $10 on your Temp Drop Wearable Thermometer: FRIEND-4B3HG7P

3 Tammi 202452min

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