In spite of all the proven progress of contemporary medicine, certain people are drawn to alternative or “natural” remedies and approaches. A number of these are not dangerous. As a cancer specialist observed in the past year, people receiving cancer treatment will frequently try meditation or vitamins too. When such a practice is in addition to, and not in place of, scientifically-backed treatment, this is typically not a problem. If it lessens distress, it can help.
But the explosion of online health influencers poses challenges that governments and regulators in many countries have not fully understood. A recent inquiry into a particular business providing membership and advice to expectant mothers has revealed dozens cases of late-term fetal deaths or other serious harm connected to mothers or birth attendants linked with it. While the entity is headquartered in North Carolina, its reach is international.
“For whole populations, going through labour and birth without professional support is associated with higher levels of risk for mother and baby,” according to a professor of midwifery.
Childbirth without medical assistance, known as free birth, is legal in countries including the UK and US. The potential dangers are not well understood due to a absence of reliable information. Childbirth can be a frightening experience, and excellent care is not 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, longstanding issues with maternity care are in many cases valid. A significant number of the women interviewed for the inquiry had in the past undergone distressing births.
But while mistrust of established systems may be rooted in experience, it has also become a fertile ground for other influencers looking for converts to their unorthodox methods and DIY philosophy. During the pandemic, a “well-being” industry supposedly focused on healthy living was implicated in disseminating falsehoods about vaccines and fuelling paranoia about official advice.
Worry is rising that such beliefs are acquiring more general purchase. One paper given at a medical symposium focused on misinformation, which it said had “acutely worsened in the past decade”. The inquiry shows that behind the facade of an anti-establishment community lies an operation that trains women as social media influencers as in addition to birth attendants. The group does not present itself to be a certified medical provider.
There is no going 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 positive effect. But there is also a critical necessity for protections from poor advice. It is widely understood that the automated systems used by tech companies promote more extreme content.
In the UK, improvements to maternity services cannot come soon enough. They must include the choice of home birth and the availability of clear information to support women in choosing their care. Policymakers and bodies such as the World Health Organization should also develop strategies for the information ecosystem so that science-based healthcare is not compromised.
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