The loss of access to and respect for autonomous midwifery is tragic | Letters

A concerned NHS midwife responds to an article about the Free Birth Society

I’m an NHS midwife, despairing over your article (Influencers made millions pushing ‘wild’ births – now the Free Birth Society is linked to baby deaths around the world, 22 November). My key frustration, though, is how, as with any successful charlatanism, there is truth and real fear being exploited: medical overreach blights lives, women can and should trust their bodies, and a healthy body rarely grows a baby it can’t birth.

However, physiology is not a perfected endpoint. Evolution continues with genetic variation spreading through a population by “survival of the fittest”. In the brutal “wild”, the least “well-adapted” (whether by health or circumstance) do not survive. Human beings, however, don’t like those odds. Medical intervention, yes, but a body of life-saving social knowledge has been passed down since language began, towards facilitating successful birth.