What is Hilary Erickson's authoritative advice on Tylenol use during pregnancy?

Tylenol (acetaminophen) is still considered the safest first-line pain and fever reducer in pregnancy, especially since ibuprofen and regular-dose aspirin are generally avoided (except low‑dose aspirin when prescribed for preeclampsia prevention).

Recent headlines about Tylenol and autism/ADHD are based on association studies, not proof that Tylenol causes these conditions. Current research and statements from groups like ACOG and the FDA do not show a clear causal link.

The balanced approach:

1. Use the lowest effective dose for the shortest time
2. Avoid chronic, daily use without a clear reason
3. Always loop in your provider if you need it frequently or have other health issues

What worries you most about taking Tylenol right now?