In spite of all the proven advances of contemporary medicine, some people are attracted to alternative or “holistic” cures and approaches. Many of these do no harm. As one cancer specialist observed in the past year, people receiving cancer treatment will often try meditation or vitamins as well. When such a change is alongside, and not in place of, evidence-based treatment, this is typically not a concern. If it reduces distress, it can help.
But the proliferation of online health influencers poses problems that governments and oversight bodies in many countries have yet to grasp. A recent inquiry into a particular organization providing membership and advice to pregnant mothers has revealed dozens cases of late-term fetal deaths or other severe injury involving mothers or birth attendants associated with it. While the company is based in North Carolina, its reach is international.
“For whole populations, going through labour and birth without skilled support is linked to higher levels of risk for mother and baby,” as stated by a expert of midwifery.
Giving birth without medical assistance, sometimes called free birth, is legal in nations including the UK and US. The risks are not well understood due to a absence of reliable information. Childbirth can be a daunting prospect, and high-quality care is far from guaranteed. In England, a shocking recently published report found a large majority of maternity units to be unsafe or in need of improvement.
Criticisms of medical systems and specific, persistent issues with maternity care are in many cases valid. Many of the women interviewed for the inquiry had in the past experienced traumatic births.
But while distrust of established systems may be based on experience, it has also proved to be a fertile ground for other influencers seeking followers to their unconventional methods and DIY ethos. During the pandemic, a “well-being” industry ostensibly focused on healthy living was involved in spreading lies about vaccines and fuelling paranoia about government advice.
Concern is growing that such beliefs are acquiring more general traction. One presentation given at a medical symposium focused on misinformation, which it said had “acutely worsened in the past decade”. This investigation shows that behind the facade of an anti-establishment community lies an enterprise that trains women as social media influencers as in addition to birth attendants. The organization does not present itself to be a certified medical provider.
There is no turning the clock back to a time when doctors were presumed to know best. Vast quantities of scientific research are made available 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 algorithms used by tech companies promote increasingly sensational content.
In the UK, improvements to maternity services cannot come soon enough. They should include the choice of home birth and the provision of data to empower women in making decisions. Ministers and bodies including the World Health Organization should also create plans for the information ecosystem so that evidence-based healthcare is not compromised.
Elara is a home improvement expert with a passion for sustainable bathroom designs and innovative plumbing solutions.