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US doctors on women’s guilt, anxiety and fear after Trump links Tylenol and autism

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Madeline Halpert and

Courtney Subramanian

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After President Donald Trump told a room full of reporters that taking Tylenol during pregnancy was linked to a “very increased risk” of autism in children, several patients had questions for Dallas Reed, the chief of genetics and an OBGYN at Tufts Medical Center.

“Is this why my child has autism?” Dr Reed said one parent asked her about having taken Tylenol while pregnant.

Dr Reed said she expects to have many more of these conversations with expectant mothers going forward, to reassure them that research does not show a conclusive link between Tylenol and the disorder.

“Anxiety is at an all-time high during pregnancy,” she said.

“I think it’s unfortunate that now there’s another thing on that list of topics that we need to do a deep dive into with our patients.”

Doctors who spoke to the BBC said Trump’s remarks could spark unnecessary fear among pregnant patients and put their health at risk, with few other safe options to treat potentially dangerous fevers and pain.

Anna Langer, a 42-year old Bay Area resident who is 21 weeks pregnant, said Trump’s comments play on pregnant women’s anxiety. She said it’s “very diminishing for women”.

“What makes me the most angry is it’s lying to women, and as part of that lie, saying, ‘just suffer through it,'” she said. “[We’re] wanting the best for the baby and we can’t do that with this advice.”

Dr Reed and other obstetricians say they plan to continue recommending acetaminophen – the main ingredient in Tylenol – to pregnant women when needed, as they say research does not support the claim the pain and fever reliever is linked to autism.

The widely held view of researchers worldwide is that there is no single cause of autism, a complex condition scientists say is caused by a host of genetic and non-genetic factors.

The Autism Science Foundation, a US charity, says that based on existing data there is not enough evidence to support a link between Tylenol and autism.

But it says that taking any medication during pregnancy should be approached with caution and medical advice should be sought.

Anxious phone calls to doctors

Acetaminophen is the main ingredient in the brand Tylenol, known as paracetamol elsewhere in the world. It is one of the only pain relievers recommended for pregnant women, as others like ibuprofen have been linked to birth defects and other adverse outcomes.

Speaking at a press conference on Monday alongside Health Secretary Robert F Kennedy Jr, Trump claimed acetaminophen caused autism and told women to “fight like hell” not to take it.

The announcement came just months after Kennedy pledged to find the forces behind rising cases of autism in the US.

But public health experts say the evidence about Tylenol and autism is much less clear than Trump and his health secretary suggest. Part of the reason why rates have risen is because our understanding of autism has increased. More children are tested for it, and more are diagnosed.

While some studies have shown a small link between taking acetaminophen during pregnancy and autism in children, no consistent and reliable group of studies has proven it a cause. Some research has even shown no association at all, including a 2024 study of nearly 2.5 million births in Sweden from 1995 to 2019.

Still, many women have expressed concern following Trump’s announcement.

Emily Oster, a Brown University economist who runs the website ParentData, said she received an outpour of messages from mothers who were panicked because they took acetaminophen during pregnancy and were now looking for signs of autism in their children.

“We are scaring a bunch of people for no reason about things they did in the past and we’re generating more anxiety in an already very anxious population,” she said.

Dr Reed said Trump’s remarks could contribute to a sense of guilt for parents whose children have been diagnosed with autism and have already been searching for answers.

“My feeling, and I think the feeling of other people, is that there’s really nothing that you did to cause this, and that includes taking a safe medication during pregnancy,” she said.

Toughing it out

Doctors said they worried most about Trump’s advice to pregnant women to “tough it out” rather than take Tylenol when in pain or ill. The president advised pregnant women to take the medication only in the case of severe fever.

Experts say that advice is potentially dangerous.

“It is troubling and worrisome,” said Allison Bryant, a high-risk obstetrician at Massachusetts General Hospital. “I do worry that people will try to avoid medications at all costs because of this fear or worry, which may lead to a sort of unintended harm.”

Pregnant women deserve the same treatment for their pain that others receive, said Elizabeth Langen, a maternal foetal medicine specialist at Michigan Medicine.

She said pain can trigger stress responses and other health effects that negatively impact pregnancies. “Leaving people in pain is not a healthy approach to a pregnancy,” she said.

Untreated fevers in pregnant women also poses a danger and has been linked to a host of adverse consequences for maternal and foetal health, including miscarriages, pre-term births and birth defects.

Lucy, a 38-year-old from Minneapolis, Minnesota, who is 37-weeks pregnant, said Trump’s comments were insulting, adding that women are constantly confronted with advice about what they should be doing during pregnancy.

“Pregnancy is one of the hardest things a woman is ever going to do … so to be told to tough it out is infuriating,” she said.

‘Distracting’ from health care

During his announcement on Monday, Trump said the US Food and Drug Administration (FDA) would notify doctors that acetaminophen taken during pregnancy was associated with an increased risk of autism.

A notice from the FDA to physicians used more cautionary language, noting that a causal relationship between Tylenol and autism has yet to be established, and that acetaminophen is one of the only safe fever relievers for pregnant women.

The letter tells doctors to consider limiting the use of acetaminophen during pregnancy for low-grade fevers.

Physicians are already having conversations with pregnant patients weighing the risks and benefits of taking medications against untreated symptoms, said Dr Bryant.

“It is always shared decision making,” she said. “For any medication exposure during pregnancy, we like for pregnant individuals to review with their providers, their midwife, their doctor, what’s going on and what are the best next steps.”

Doctors said that because Trump’s remarks were not evidence based, they bared no weight on how they would advise their pregnant patients. Doctors said they would defer to major medical associations, including the American College of Obstetricians and Gynecologists, which says acetaminophen is safe for pain and fever relief in pregnant women.

Dr Langen said she welcomed the chance to reassure patients about the medication and walk them through the science.

But, she said, the more time providers have to spend dispelling myths about Tylenol, the less time they have to discuss other important health issues.

“It really distracts and takes away from the quality of health care that we’re able to provide to people,” she said.

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World leaders at the UN couldn’t hear Trump’s speech as sound was cut off, Trump says

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US PRESIDENT DONALD Trump is not happy with the United Nations after “not one, not two, but three very sinister events!” took place while he was in Manhattan for his address to world leaders.

Yesterday Trump complained about an issue with the escalator, which stopped just as he and First Lady Melania Trump stepped on, and a teleprompter that malfunctioned as he made his speech. 

The White House earlier said an investigation had been launched into whether the moving stairway was stopped on purpose to humiliate the US president, who later bashed the global body in his speech to the UN General Assembly in New York.

Tonight, Trump has highlighted a third fault: his almost hour-long speech was made to the United Nations while sound to the auditorium was off. “World Leaders, unless they used the interpreters’ earpieces, couldn’t hear a thing,” he wrote. 

In a post to Truth Social, he rehashed his issues with the escalator and teleprompter. 

“First, the escalator going up to the Main Speaking Floor came to a screeching halt. It stopped on a dime. It’s amazing that Melania and I didn’t fall forward onto the sharp edges of these steel steps, face first.”

He said this was “absolutely sabotage”, and referenced a report in The Sunday’s Times coverage that said UN staff members were jokingly saying they would turn off elevators and escalators on his arrival and “tell him they ran out of money”.

A UN spokesman said the mishap happened because someone in front of Trump accidentally set off a safety mechanism on the escalator, causing it to shut down.

AFP reporters said escalators at UN headquarters in New York were frequently out of order. 

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Trump continued: “The people that did it should be arrested! Then, as I stood before a Television crowd of millions of people all over the World, and important Leaders in the Hall, my teleprompter didn’t work.

“It was stone cold dark. I immediately thought to myself, “Wow, first the escalator event, and now a bad teleprompter. What kind of a place is this?” I then proceeded to make a Speech without a teleprompter, which kicked in about 15 minutes later,” he said, adding,  ”The good news is the Speech has gotten fantastic reviews.”

Yesterday, as the malfunction occurred, Trump had said, “Whoever is operating this teleprompter is in big trouble.”

He then went on to – apparently jokingly – link the two incidents to what he said were the UN’s multiple failings, including a lack of support for his peace efforts in a series of conflicts.

“I ended seven wars, dealt with the leaders of each and every one of these countries, and never even received a phone call from the United Nations,” Trump said.

In his message tonight, Trump said that he learned of the third “sinister event” as he rejoined his wife Melania at the conclusion of the speech, who was sitting at the front of the auditorium. 

“I said, “How did I do?” And she said, “I couldn’t hear a word you said.” This wasn’t a coincidence, this was triple sabotage at the UN. They ought to be ashamed of themselves.”

He said it’s “no wonder” the UN hasn’t been able to “do the job that they were put in existence to do” and that the Secret Service is involved.

The United Nations insisted there were simple explanations for the initial two malfunctions, but have yet to comment on the third. 

A videographer filming the US delegation’s arrival “may have inadvertently triggered the safety function” on the escalator, while the teleprompter was operated by the White House, the UN said in a statement.

– Additional reporting by © AFP 2025 

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Kate O’Connor receives hero’s welcome at Dundalk homecoming

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Ireland’s World Athletics Championships silver medallist Kate O’Connor received a hero’s welcome in her hometown of Dundalk on Wednesday evening.

The World Heptathlon silver medallist strode into the hall of her old school, St Vincent’s Secondary, to the triumphant sound of a brass band.

The large cheering crowd included throngs of children from her athletics club, Dundalk St Gerard’s, and pupils from the school.

Fintan Reilly, deputy president of Athletics Ireland, Paul Cheshire, chairman of St Gerard’s AC, along with Ms O’Connor’s father and coach, Michael, joined her on stage, with St Gerard’s PRO Paul Martin acting as emcee.

O'Connor addresses the gathered wellwishers. Photograph: Dan Clohessy/Inpho
O’Connor addresses the gathered wellwishers. Photograph: Dan Clohessy/Inpho

Ms O’Connor’s mother, Valerie and her grandmother, Madeleine were also in the crowd.

Ms O’Connor told the wellwishers while she was in Japan she knew there were lots of people excited with what she had achieved, but it was only in coming to events such as this she realised there were “so many people interested in what I’ve done”.

Alluding to the hectic nature of the heptathlon, she said: “For me it was like one event after another. On the Friday night [day one of the heptathlon] I was going to bed at 1am and then had to be up at 6am on the Saturday.”

Silver lining for Kate O’Connor and relieved studio pundits despite injury alertOpens in new window ]

The heptathlon consists of seven disciplines across a two-day period, including 100m hurdles, 200m race, 800m race, high jump, long jump and shot-put.

Ms O’Connor, in winning the coveted World Championship silver medal, also set a new Irish record of 6,714 points.

Mr Martin told Ms O’Connor the whole club, town and country were “enormously proud” of her phenomenal achievement and also expressed his appreciation to her for “how big a role model” she was for all the young people.

O'Connor poses for pictures with fans in Dundalk on Wednesday night. Photograph: Dan Clohessy/Inpho
O’Connor poses for pictures with fans in Dundalk on Wednesday night. Photograph: Dan Clohessy/Inpho
O'Connor with members of Dundalk St Gerards Athletic Club. Photograph: Dan Clohessy/Inpho
O’Connor with members of Dundalk St Gerards Athletic Club. Photograph: Dan Clohessy/Inpho

Ms O’Connor admitted that she felt “a little bit more pressure” in these World Championships and she had to hold her nerve.

“If I was offered one medal this year, I would have jumped on it, but to win four medals at international events ..,” she said.

Ms O’Connor also reflected on the exalted group of Irish woman World athletics medallists that she has joined, namely Sonia O’Sullivan and Derval O’Rourke: “To get messages from these people, these were my idols growing up, but now to be in the same sentence as them …”

Ms O’Connor said that the biggest advice she had for the young children in attendance was “if you have a dream, keep dreaming” and that “you never achieve anything without working very hard”.

One young girl present to welcome her idol home was Niamh Ryan (9) from Carlingford. “I’m very proud of her. I’ve met her at Glenmore Athletics track at Bush Post-primary school,” said Niamh.

Ms O’Connor’s father Michael said she is getting an MRI on her right knee on Thursday as a result of strain she picked up during the heptathlon’s long jump section and they will then put a plan in place.

“She was meant to stay in Japan for a couple of weeks,” he said, but it was decided that the best thing to do was to come home to get the knee assessed.

Mr O’Connor also emphasised the importance of investing in resources including in coaches and that there are “some world class coaches” in Ireland.

“I’ve been so lucky in coaching, I’ve been surrounded by world class coaches. It’s very easy to access information from other people, the hardest thing is to pick up the phone,” he said.

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University boss calls for major review of Scottish higher education

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Douglas FraserBusiness/economy editor, Scotland

imageBBC Anton Muscatelli stands inside Glasgow University. The background is the Gothic architecture of the university's main buidling. He is framed by two this wooden doors. Sir Anton wears a grey jacket with a white shirt and yellow tie.BBC

Scotland’s most experienced university principal has called for a review of the funding and shape of higher education, warning against “stumbling from year to year”.

Sir Anton Muscatelli, who retires this month after 16 years as the principal and vice-chancellor of Glasgow University, says universities need a plan which could see major changes in the courses they teach and the research they carry out.

He told the BBC that charging tuition fees to Scottish students is unlikely to secure support at Holyrood so Scotland needs to work out what it wants from higher education and then decide how to pay for it.

His call comes ahead of two crucial reports, due to be published on Friday by the Scottish Funding Council (SFC), about the financial position of universities and of further education colleges.

Both studies have been delayed since early this year – and should reflect the latest financial figures up to June.

This comes as analysis seen by the BBC suggests Scottish government finance for universities and further education colleges has been squeezed in real terms in the past six years by about a fifth.

FE colleges say they are having to turn away qualified applicants and that apprenticeship course are over-subscribed, while universities are limiting the number of places they can offer Scottish students.

In recent years, some have subsidised the cost of educating Scottish students by sharply increasing their recruitment of foreign students but those numbers have started to decline.

Are Scotland’s universities in crisis?

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Earlier this year, Dundee University was hit by a severe financial crisis.

A report into the near-collapse of the university said it had continued with increased spending despite a drop in foreign student fee income.

Its principal went before a Scottish Parliament committee and admitted incompetence and senior board members resigned over the mismanagement.

Dundee has so far required a Scottish government bailout of more than £40m.

It is an extreme example but other Scottish universities are also under financial strain.

Edinburgh University is planning cuts of £140m, including job losses.

Its principal, Sir Peter Matheson, has called for a “radical re-wiring” to respond to the funding challenge.

Both institutions and others have seen recent strikes by academic staff to highlight the effect of cuts.

Where do universities get their money from?

Students at Scottish universities with permanent homes in Scotland don’t pay tuition fees.

Instead, the universities get money from the government for a set number of Scottish students each year.

However, they claim that the amount they receive does not cover their costs – and in most cases is not as much as the £9,500 a year that students from the rest of the UK usually pay.

Foreign students in Scotland pay much higher fees – in many cases nearly three times more than UK students.

Most of them come to the UK to do post-graduate Masters degree courses.

This has been an area that has provided a welcome source of funding in recent years but it has fallen away sharply for several reasons, including new UK immigration rules and competition from other countries.

There is no sign of Holyrood ministers or their opponents moving to end ‘free tuition’ for Scottish students, so they need to find other ways of tackling their financial problems.

Do universities get enough money for Scottish students?

The BBC has had access to a new study carried out by David Bell, a professor of economics at Stirling University and expert in public finance.

The study, written for the Royal Society of Edinburgh, details how funding per Scottish university student has fallen over the past five years due to the effect of inflation.

In real terms, the funding shrunk by 22% between 2019-20 and 2023-24, Prof Bell says.

The academic also used publicly available data to show that the fees universities receive fall far short of what they estimate are the costs of educating students.

For instance, in modern languages, the £7,421 annual funding per student is half of what they say is required.

In dentistry, the Scottish government last year paid £19,580 per student.

This is reckoned to be at least £9,000 short of the cost to universities.

The funding for veterinary studies, law, social work, media studies, drama, architecture, planning, anatomy, chemistry, mineral engineering, philosophy and religion would have to be increased by at least 70% to reach the actual cost of educating the average student, Prof Bell says.

Universities also say their research funding, from governments and other sources, fails to cover costs of the overheads they have in facilities.

Are universities relying too much on foreign students?

The number of foreign students at Scottish universities has nearly doubled since 2006-07, when it was 24,200.

The figure reached a peak of 47,700 in 2022-23 before falling back.

Prof Bell’s report details the ways in which the money from overseas students is threatened by changes to immigration requirements.

There are new rules that bar students from bringing their families, as well as a reduction in the time foreign nationals are allowed to work in the UK after graduating.

Some universities are much more exposed than others to volatile foreign student income.

The University of the West of Scotland and Glasgow Caledonian have three quarters of the places on their taught post-grad courses filled by non-UK students.

Older universities such as Glasgow and Edinburgh have many more such students, and more than half of whom are from overseas.

What about Scottish students?

imageGetty Images Three female graduands make their way through the streets of St Andrews and into a graduation ceremony at the University of St AndrewsGetty Images

The number of places for Scottish students doing their first degree is capped in each university, due to constraints in Scottish government funding.

But there is no limit to the number of places that can be taken by students from the rest of the UK.

They pay the same level of annual tuition fees that they would pay in the rest of the UK.

For the new academic year, that is £9,535, a rise of of 3.1%.

Universities across the UK say this amount has not increased by very much for more than a decade and claim that it also falls short of the actual cost of educating students.

Universities such as Edinburgh and St Andrews have almost as many students from England, Wales and Northern Ireland as they do from Scotland, with roughly a third from each.

Glasgow, by contrast, is 66% Scottish and 15% are from the rest of the UK.

For newer universities, with less of a reputation and prestige, income from the rest of the UK students is more limited.

At Glasgow Caledonian and the University of the Highlands and Islands, the Scottish share is more than 95%.

Do graduates still earn more?

One effect of the Scottish government providing tuition fees for students from Scotland is that graduates themselves leave university with much less debt.

The study cites research that indicates the average Scot graduated in 2023 with debt of £15,430, while the figure for the rest of the UK was £44,940.

Prof Bell’s research gives extensive detail on earnings five years after they graduate.

His figures, based on the 2021-22 tax year, vary widely.

They show a computing graduate from St Andrews was earning an average £77,000, three times as much as one from the University of the West of Scotland.

The lowest pay was for a typical graduate in art and design from the University of the Highlands and Islands, on £15,300.

Other high-earning graduates were in medicine, dentistry and economics.

Among lower earners were those with degrees in media, sociology and performing arts.

The report says that the annual earnings of those with qualifications in health-related and STEM subjects tend to exceed the Scottish average, while those with arts qualifications tend to earn less.

What does Scotland need?

Prof Bell points out that funding is mainly allocated to universities based on the previous year’s funds.

He argues that this gives little scope for innovation and change.

Sir Anton Muscatelli also talks about the case for universities becoming more different from each other.

The Glasgow University principal says there will be a need for more of them to share resources and show they are operating efficiently, with mergers being an option.

Looking to next year’s Holyrood election, he says politicians need to acknowledge that the education sector is going to be crucial to the success of the Scottish economy.

He said: “It really is imperative that we don’t stumble from year to year [but] think about how this is going to be shaped or resourced.

“We need a strategic plan as a country, which is why I suspect after 2026, there will need to be a look at the shape and size of the Scottish [university] sector.

“I hope this is done in a rational way. I strongly believe in a publicly-funded sector, I hope that can be achieved, but let’s start with the question: what sector does Scotland need?”

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