EBM and CQI Article of the Week 11.25.20

How does a pregnant woman effectively and safely minimize or treat physical pain?  Are any medications safe for her developing fetus?

What are the downsides to untreated pregnancy pain?  What compensatory measures to reduce pain might be worse than a common medical treatment,. e.g., inactivity vs. OTC pain relivers….?

There are a dozen or so reports linking pregnancy acetaminophen use to a variety of childhood neurobehavioral disorders – ADHD, autism, ASD.  Correlation because of confounding-by-indication, or causation via acetaminophen metabolite neurotoxicity?

I thought of Goethe when I read the attached reports.

For everyone who does not know

How to control his inmost self would fain control

His neighbor’s will according to his own conceit.

Joe Kaempf, MD
District VIII Oregon Representative
Portland, OR

Volume 12, Number 45

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