🔗 Share this article Pregnancy Influencers: The Public Requires Protecting from Harmful Guidance. In spite of all the proven advances of contemporary medicine, some people are drawn to alternative or “natural” remedies and practices. A number of these are not dangerous. As one cancer specialist noted recently, people receiving cancer treatment will often try meditation or vitamins too. When such a change is alongside, and not instead of, evidence-based treatment, this is usually not a concern. If it reduces distress, it can help. The Proliferation of Online Health Figures But the proliferation of online health influencers presents problems that governments and regulators in many countries have not fully understood. An investigation into one such business offering membership and advice to expectant mothers has revealed dozens cases of third-trimester fetal deaths or other severe injury involving mothers or birth attendants linked with it. While the company is based in North Carolina, its reach is international. “Across 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. Understanding the Dangers and Background Childbirth without medical assistance, sometimes called free birth, is legal in nations including the UK and US. The risks are poorly documented due to a absence of data. Childbirth can be a frightening experience, and high-quality 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 justified. A significant number of the women interviewed for the investigation had in the past undergone traumatic births. Skepticism and the Proliferation of Falsehoods But while mistrust of institutions may be rooted in experience, it has also become a fertile ground for other influencers seeking followers to their unconventional methods and DIY philosophy. During the pandemic, a “wellness” industry supposedly focused on healthy living was involved in spreading lies about vaccines and feeding paranoia about official advice. Worry is rising that such beliefs are acquiring more general traction. One presentation given at a cancer conference 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 enterprise that trains women as social media influencers as well as birth attendants. The group does not present itself to be a certified medical provider. The Need for Protections and Reforms There is no going back to a time when doctors were presumed to know best. Vast quantities of scientific research are published online and many people use these to beneficial effect. But there is also a critical necessity for safeguards from poor advice. It is well known that the algorithms used by tech companies promote more extreme content. In the UK, necessary reforms to childbirth care are urgently needed. They should include the choice of home birth and the availability of clear information to empower women in choosing their care. Policymakers and bodies including the World Health Organization should also create plans for the information ecosystem so that science-based healthcare is not undermined.