Showing posts with label ADHD. Show all posts
Showing posts with label ADHD. Show all posts

Saturday, April 22, 2017

Pregnant women should limit the use of cell phone: cautions results of largest study till date.

courtesy: research medical center 

Children born to mothers who frequently used cell phones prenatally were more likely to have hyperactivity/inattention problems as compared to those who used it less frequently.

The study was published online in Journal Environment International.

The lead author Laura Birks is not advising the mothers to stop using cell phones, but just be cautions and use it in moderation because the research has still not proved causation.

An earlier study published in Journal Epidemiology in 2008 also found that mothers who did use the handsets were 54 per cent more likely to have children with behavioral problems and that the likelihood increased with the amount of potential exposure to the radiation.

In the current study the researchers analyzed 83,884 mother-child pairs in five cohorts from Denmark, Korea, Netherlands, Norway and Spain during various time periods from 1996 to 2011.

The cell phone use was divided into none, low, medium, and high based on the usage reported by mother. 

The children were assessed for behavioral, hyperactivity/inattention or emotional problems between ages 5-7 years.

The earliest cohort from Denmark between 1996–2002 was the only cohort having enough women who did not use cell phones while pregnant.

Children born to mothers who were on cell phones for at least 4 calls/day or in another cohort for an hour/day were 28% more likely to be hyperactive as compared to children whose mothers made 1 or fewer call per day.

The association was found consistently across all cohorts, both for prospective and retrospective collected data.

Researchers are raising more questions after the results of study was published.

Dr. Robin Hansen, a pediatrician and professor at the University of California, Davis in Sacramento opines that the study does not answer the question whether it is the actual handset or your parenting behavior that causes the psychological problems.

She said in an interview with Medscape “Now we have to dig deeper and figure out why? Is it the electronic signals that go through your brain and your body, or how it changes your interactions with your child postnatally?”

She also said that we also need to look at the fact that those mothers who are busy on cellphones do not have enough time for their children, shaping their behavior differently. Children become hyperactive and through tantrum to get the parents away from the cell phone and before long it becomes a habit.

The Russian National Committee on Non-Ionizing Radiation Protection advises to limit the use of phone in children too. It concludes that children who talk on the handsets are likely to suffer from "disruption of memory, decline of attention, diminishing learning and cognitive abilities, increased irritability" in the short term, and that longer-term hazards include "depressive syndrome" and "degeneration of the nervous structures of the brain".

On July 1,2015 more than one hundred medical doctors, scientists and public health experts from around the world have signed a Joint Statement advising pregnant women to take simple precautions to protect themselves and their babies from wireless radiation. The Statement is part of a national right-to-know campaign called the BabySafe Project created by two non-profit organizations to inform pregnant women about the issue.

"The wireless world may be convenient, but it's not without risks," says Patricia Wood, Executive Director of Grassroots Environmental Education and co-creator of the BabySafe Project. "When more than one hundred of the world's leading medical doctors and researchers on wireless radiation say we have enough evidence for women to take protective action, we think women should know about it."



Thursday, February 16, 2017

SMFM issues statement regarding acetaminophen use in pregnancy and neurodevelopmental outcomes in children.


courtesy: pixabay

SMFM issued a recent statement regarding the safety and use of acetaminophen in pregnancy “The SMFM continues to advise that acetaminophen be considered a reasonable and appropriate medication choice for the treatment of pain and/or fever during pregnancy.” Few recent observational studies documented a causal relationship between its use in pregnancy and increased risk of childhood neurodevelopmental disorders in offspring.

The statement was published online in [1]American Journal of Obstetrics and Gynecology.

Acetaminophen is the most commonly used over the counter (OTC) drugs in US for minor aches and pains, and lower fever in pregnancy. A survey estimates that nearly 40-65% of women use Acetaminophen sometimes in pregnancy. In US, the most common brand name is Tylenol.

Two retrospective cohort studies published last year and 3 other similar studies published in 2013-2014 have reported mild association between the drug use and adverse neurological outcomes.

The various neurological disorders that were reported to occur in these studies were ADHD, psychotic symptoms, schizophrenia and autistic spectrum disorder(ASD) with a hyperkinetic disorder.

US-FDA evaluated all these studies in 2015 and issued a statement ““Based on our evaluation of these studies, we believe that the weight of evidence is inconclusive regarding a possible connection between acetaminophen use in pregnancy and ADHD in children.”

FDA further stated that these studies have inherent flaws in study designs. All studies were retrospective in nature and suffered from recall bias, interview bias and inability to control for all the confounders. The diagnosis of ADHD is still evolving and other prenatal and postnatal environmental and genetic factors also play a role in its causation.

Hence, the current evidence is inconclusive to establish causality. But, all medication should be taken in pregnancy  keeping  in mind the risk- benefit ratio. The healthcare providers should caution all patients regarding the safety of OTC drugs in pregnancy.

The full text of the journal article can be accessed here.   




[1] http://www.ajog.org/article/S0002-9378(17)30128-X/fulltext