Monday December 17, 2018

Prolonged paracetamol use in pregnancy may up autism, ADHD risk

While there is also a 20 percent increase in relative risk for ASD, compared to those who did not take the medications

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Long-term use of paracetamol during pregnancy is associated with the risk of neurodevelopmental disorders like attention deficit hyperactivity disorder (ADHD) and autistic spectrum disorder (ASD), a study has found.

Previous studies showed that long-term administration of low doses of paracetamol also known as acetaminophen may affect the development of the fetal nervous system. This effect is often seen years after exposure during childhood.

Protein responsible for postpartum depression in pregnancy found
Paracetamol can harm infants. IANS

The new study, appearing in the American Journal of Epidemiology, showed that prolonged exposure to acetaminophen found in the commonly used drug for the treatment of pain and fever, during pregnancy is associated with a 30 per cent increase in relative risk for ADHD.

While there is also a 20 per cent increase in relative risk for ASD, compared to those who did not take the medications. “The findings suggest an association between prolonged acetaminophen use and an increase in the risk of autism and ADHD,” said Ilan Matok, from the Hebrew University of Jerusalem in Israel.

Also Read: 5 Healthy Ways To Get Back In Shape After Pregnancy

For the new research, the team conducted a systematic review and meta-analysis 1,32,738 mother and child pairs with a follow-up period of three to 11 years.

The researchers believe that it is important to understand that pain and fever during pregnancy can have a detrimental effect on the developing foetus, but acetaminophen is still considered a safe drug for use during pregnancy.

Paracetamol can cause ADHD in children. Pixabay

Therefore, if a pregnant woman has fever and/or pain, acetaminophen can be taken for a short period, and if the fever or pain continues beyond that, she should consult her physician regarding further treatment.

“While the unnecessary use of any medication should be avoided in pregnancy, we believe our findings should not alter current practice and women should not avoid the use of short-term acetaminophen when clinically needed,” Matok said. IANS

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Midwives Want To Reduce Maternal Mortality In South Sudan

South Sudan has added more than 800 midwives and nurses since 2010.

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Midwives, SUDAN
A woman holding her baby in a nursery watches another newborn who is attached to a ventilator at Juba Teaching Hospital in Juba, April 3, 2013. South Sudan has one of the highest maternal mortality rates in the world. VOA

More than 60 people graduated in Juba this week with diplomas in midwifery and nursing. Their goal? To reduce South Sudan’s high rate of maternal mortality.

Eight men were among the 66 graduates of the Kajo Keji Health Science Institute — an unusual occurrence in South Sudan, where midwifery is associated almost exclusively with women.

Samuel Ladu Morish, 26, says he felt he could no longer sit by and watch young women die because of childbirth.

chikungunya, maternal mortality
A woman sits inside a mosquito tent in the town of Abyei, Sudan. VOA

“A lot of mothers are dying so [for] me particularly it pains me. That is why I felt I have to do that course, to try my level best to stop maternal mortality rate in South Sudan,” Morish told VOA’s South Sudan in Focus.

Twenty-one-year-old Leju Henry, another male graduate, said he’s been asked many times why he decided to pursue a course in midwifery. Like Morish, Henry said he wants to help South Sudanese women, especially those who suffer complications in child labor.

“Most people think midwifery is a job for females only, but that is not the truth. … the definition of midwifery [is] that a midwife simply means someone who assists in child above all, but not necessarily means a fellow woman,” Henry said.

According to figures published by the World Health Organization in 2017, South Sudan has one of the highest maternal mortality rates in the world — 789 women per 100,000 live births.

south sudan's war, chikungunya, maternal mortality
In this photo taken Saturday, Feb. 17, 2018, the winner of Miss World South Sudan 2017, Arual Longar, poses for a portrait at a shelter for street children in Juba, South Sudan. VOA

The rate has actually fallen in recent years, a trend that Makur Koriom, the undersecretary of South Sudan’s Ministry of Health, attributes to increased training of midwives and nurses.

Also Read: Sudan Suffers From A Chikungunya Outbreak

He says South Sudan has added more than 800 midwives and nurses since 2010.

“We believe that’s important, because to address the current health challenges, investing in human resource is very important. But, of course, investment at [the] secondary level without concurrent development at the community level also will not yield [good results], because most of the issues happen at the community level,” Koriom told VOA. (VOA)