🔗 Share this article Birth Advocates: The Public Needs Protecting from Harmful Advice. In spite of all the established advances of contemporary medicine, certain people are drawn to alternative or “natural” remedies and approaches. Many of these do no harm. As a cancer specialist noted recently, people undergoing cancer treatment will frequently try meditation or vitamins too. When such a change is in addition to, and not instead of, evidence-based treatment, this is usually not a concern. If it lessens distress, it can help. The Rise of Digital Health Figures But the explosion of online health influencers presents challenges that governments and oversight bodies in many countries have not fully understood. A recent inquiry into a particular business offering membership and advice to expectant mothers has revealed numerous cases of late-term stillbirths or other serious harm connected to mothers or birth attendants associated with it. While the company is headquartered in North Carolina, its influence is global. “For whole populations, going through labour and birth without professional support is linked to higher levels of risk for mother and baby,” as stated by a professor of midwifery. Examining the Dangers and Background Giving birth without medical assistance, sometimes called free birth, is legal in countries including the UK and US. The potential dangers are not well understood due to a lack of reliable information. Childbirth can be a daunting experience, and excellent care is far from guaranteed. In England, a alarming recent report found two-thirds of maternity units to be unsafe or in need of improvement. Concerns of medical systems and particular, persistent issues with maternity care are in many cases valid. Many of the women spoken to for the inquiry had previously experienced distressing births. Distrust and the Proliferation of Misinformation But while distrust of institutions may be rooted in experience, it has also become a breeding ground for other influencers looking for followers to their unconventional methods and DIY ethos. During the pandemic, a “well-being” industry ostensibly focused on healthy living was implicated in disseminating lies about vaccines and fuelling paranoia about official advice. Worry is rising that such ideas are gaining more widespread traction. One paper given at a cancer conference focused on misinformation, which it said had “acutely worsened in the past decade”. The inquiry shows that behind the image of an anti-establishment community lies an enterprise that coaches women as social media influencers as well as birth attendants. The group does not claim to be a certified medical provider. The Requirement for Protections and Improvements There is no turning the clock back to a time when doctors were presumed to know best. Huge quantities of scientific research are published online and many people use these to beneficial effect. But there is also a need for safeguards from dangerous advice. It is widely understood that the algorithms used by tech companies promote increasingly sensational content. In the UK, necessary reforms to maternity services cannot come soon enough. They should include the option of home birth and the availability of data to support women in making decisions. Ministers and bodies including the World Health Organization should also create strategies for the information ecosystem so that evidence-based healthcare is not compromised.