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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228: MANstration: Why Your Partner Should Know about your Menstrual Cycle with Alyx Coble-Frakes

228: MANstration: Why Your Partner Should Know about your Menstrual Cycle with Alyx Coble-Frakes

How much does your partner know about your menstrual cycle? How much consideration of your period do you take when planning your monthly schedule? Author of the book, Manstration, Alyx Coble-Frakes is joining me to talk about how to become a 'cycle scientist' to make your cycle work for you! We talk about how to bring your partner into this conversation, using a period planner and how legislation muddles things.    *This episode contains strong language!   Bio: Alyx Coble-Frakes is a passionate social entrepreneur. She has 10 years of experience in business, and 8 years of experience working in health and wellness. When she returned from the Peace Corps in 2015, she felt out of touch with her own health, so she began a path of healing. This led her to launch a health coaching company, and subsequently The Agenda. She has recently authored a book called “Manstruation” which is opening up conversations around periods with men.   The Agenda: https://www.theagendaperiod.com/   Join The Birth Lounge: https://www.thebirthlounge.com/

20 Joulu 202355min

Ep. 227: Pain Relief Options in the Hospital with Dr. Nicole Rankins

Ep. 227: Pain Relief Options in the Hospital with Dr. Nicole Rankins

Giving birth in a U.S. hospital can be scary, but it doesn’t have to be—especially with Dr. Nicole Rankins in your corner. I am honored to have an an Obstetrician that truly values patient autonomy and shared decision making with her patients to help them have an empowered birth experience and avoid birth trauma! We are discussing all of the pain relief options in the hospital (yes, epidurals! But so many other options too!) plus everything you need to know about each option to make an informed decision about coping with the sensations of labor!   Our Guest: Dr. Nicole is a Duke University-trained, board-certified, practicing OB/GYN and mom of two who empowers first-time moms to have the beautiful birth experience they deserve. Over her 20 year career, she’s helped more than 1,000 babies into this world, and is a proud HBCU grad (Spelman College & North Carolina A&T State University). Her popular podcast, All About Pregnancy & Birth, is a top 50 parenting podcast with over 1.5 million downloads. Find the latest episodes here!   Join The Birth Lounge here for judgement free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!

30 Marras 202351min

Ep. 226: Coping with an Unexpected NICU Stay with Casey Lewis

Ep. 226: Coping with an Unexpected NICU Stay with Casey Lewis

Casey Lewis is a NICU Speech-Language Pathologist, Certified Neonatal Therapist & Certified Lactation Counselor who experienced placental abruption that led to an emergency c-section and in an unexpected twist, she found herself receiving care as NICU parent rather than giving care as a clinician. In today’s episode, she shares the physical and emotional demands of your baby being in the NICU, tips for coping and how to effectively communicate with medical staff about your preferences for your baby’s care. She also tells her birth story and how she knew something was wrong.   This is such an informative episode that makes NICU parents feel seen and non-NICU parents feel prepared.    Join The Birth Lounge!

15 Marras 202359min

Ep. 225: How Birth Trauma Impacts Your Partner & Intimacy with Ashley Mariani

Ep. 225: How Birth Trauma Impacts Your Partner & Intimacy with Ashley Mariani

Have you ever thought about how birth trauma impacts your partner? Or, how that subsequently impacts your relationship? Your intimacy? Your postpartum experience? What if you feel like your partner even played a role in your birth trauma? Ashley Mariani joins me to today to chat about how to identify if your birth trauma is impacting your relationship with your partner and how to navigate this space with the goal of reuniting. We dive into emotional attainment, effective communication in postpartum and how to deal with the mental load of birth trauma. A don't miss episode for anyone who is struggling with birth trauma after birth and wondering if this is your new normal.    Bio: Ashley Mariani is a registered social worker specializing in couples perinatal mental, emotional and sexual health, while also fiercely advocating against obstetric violence. She has seen the implications of birth traumas impact on the mental, emotional and sexual lives of couples and strives to help couples and individuals in prevention and resilience building. Ashley’s academic background includes degrees in sexuality, counseling, individual and couples work. The lens she works most passionately from is rooted in the body’s innate wisdom, the nervous system. Ashley works with her clients from a holistic framework that utilizes, movement, nutrition, plant medicine, vagus nerve toning, and functional medicine. Ashley is also a mother to three free spirited children, including twins.   The Birth Lounge: https://www.thebirthlounge.com/   Connect with Ashley: https://mindonline.ca/ Ashley's Instagram: https://www.instagram.com/therogue.therapist/

8 Marras 20231h 12min

Ep. 224: How to have a Pain Free Birth, pt. 2 with Dr. Q

Ep. 224: How to have a Pain Free Birth, pt. 2 with Dr. Q

Today’s guest, Dr. Q, is joining me to discuss pain in labor! Everyone wants to have a pain free birth, but something always left out of the conversation is our individual PERCEPTION of pain! Dr. Q is a Pelvic Floor Physical Therapist, childbirth educator and postpartum doula! She specializes in the treatment of pelvic floor dysfunction and conditions that affect the bladder, bowel, and reproductive systems. This episode will help you have a deeper look at the neuroscience behind pain! Dr. Q will teach us how your perception of pain can impact your labor, how medications (pain relief meds + labor augmentation meds) impact your pelvic floor and how you can learn to work with your body in terms of the fear-pain-tension cycle to have your best birth!    The Birth Lounge: https://www.thebirthlounge.com/   Connect with Dr. Q: drqdpt.com

13 Loka 20231h 4min

Ep. 223: How to have a Pain Free Birth, pt. 1 with Dr. Q

Ep. 223: How to have a Pain Free Birth, pt. 1 with Dr. Q

Today’s guest, Dr. Q, is joining me to discuss pain in labor! Everyone wants to have a pain free birth, but something always left out of the conversation is our individual PERCEPTION of pain! Dr. Q is a Pelvic Floor Physical Therapist, childbirth educator and postpartum doula! She specializes in the treatment of pelvic floor dysfunction and conditions that affect the bladder, bowel, and reproductive systems. This episode will help you have a deeper look at the neuroscience behind pain! Dr. Q will teach us about qualifying vs quantifying pain and the different types of pain + what they are telling us!   The Birth Lounge: https://www.thebirthlounge.com/   Connect with Dr. Q: drqdpt.com

4 Loka 202336min

Ep. 222: Donor Milk with Sterling Grey-Simmons

Ep. 222: Donor Milk with Sterling Grey-Simmons

Have you ever thought about using donor milk? Did you know it was an option? Do you know where you can donate? How do you sign up to be a milk bank recipient? How do you know if you are eligible? Are there benefits to donor milk? This episode will help your options when it comes to donor milk! Sterling shares what parents need to know and how to navigate the milk bank system to best advocate for yourself and your baby. We will talk about the many processes and paperwork involved in being, both, a donor and a recipient.   Sterling is a full spectrum doula and certified lactation specialist— not to mention she has breastfed 3 babies of her own! She also serves parents in-person around the Metro Atlanta area and offers virtual services otherwise.   The Birth Lounge: https://www.thebirthlounge.com/   Home Visits with Sterling   Virtual Meetings with Sterling   Digital Breastfeeding Training   Educational Breastfeeding Coloring Book

27 Syys 202344min

Ep. 221: The Importance of Counting the Kicks with Emily Price

Ep. 221: The Importance of Counting the Kicks with Emily Price

Did you know there is an app that can help reduce the risk of stillbirth in the end of pregnancy? I know a big fear of many moms out there is how to know if your baby is healthy as your pregnancy gets closer to your due date (and even beyond your due date). You can easily add in an evidence-baed approach of daily kick counts to your routine to check-in on baby's well-being. Joining me today is Emily Price, the CEO of Count the Kicks, to discuss stillbirth rates in the US, why there are such racial disparities and risk factors you need to know about. Most importantly, we will dive into the common myths around stillbirth and what not to do if you think your baby's movements have reduced compared to their normal patterns! Count the Kicks has a public health campaign that educates and empowers expectant parents to track their babies' movements in the third trimester of pregnancy.    The Birth Lounge: https://www.thebirthlounge.com/   Count the Kicks: https://countthekicks.org/

20 Syys 202335min

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