Free Birth Risks: Naomi James’s Death and Radical Influencers
Naomi James’s death reveals the real free birth risks women face when influenced by radical online communities. In June 2024, Emilee Saldaya, leader of the Free Birth Society (FBS), hosted a festival on her 21-hectare North Carolina property, celebrating her multimillion-dollar organization that promotes childbirth without medical support. Thousands of miles away in Dundalk, Ireland, James bled to death while attempting a home free birth.

James’s high-risk pregnancy, following two caesarean sections, exposed her to radical free birth content online. She engaged with posts, podcasts, and advice from influencers advocating unassisted childbirth. These messages, combined with her negative past experiences with maternity care, shaped her choices.
Naomi James’s Experience with Free Birth
James experienced restrictive and dismissive medical care in previous pregnancies. Hospitals denied her use of a birthing pool and laughed at her desire for a vaginal birth after cesareans. Frustrated, she disengaged from medical services and turned to online communities. She joined private groups and followed radical influencers like Kemi Johnson, a former midwife turned “birth keeper.”
Johnson and similar advocates criticized conventional maternity care and promoted home births as empowering. James attended Johnson’s online discussions, liked posts celebrating cesarean-free births, and shared this content with others. https://www.theguardian.com/world/series/the-birth-keepers

The Role of Radical Birth Societies
FBS leaders, including Saldaya and Yolande Norris-Clark, run courses for women pursuing free birth. They train “radical birth keepers” (RBKs) who operate outside official midwifery registration, teaching support techniques and legal workarounds. While free birth is legal in the UK, practicing as a midwife without registration is illegal.
Despite legal limits, FBS graduates continue to promote unassisted births globally. Reports document multiple harms, including maternal and neonatal deaths. Experts warn that FBS content can mislead high-risk mothers and amplify danger.

The Wider Problem: Poor Maternity Care
James’s death highlights how poor maternity care drives women toward extreme online communities. Many women feel judged, ignored, or restricted in hospitals. Radical influencers exploit these gaps, offering advice that can appear empowering but carries serious risks.
Healthcare professionals stress that women must make informed choices, but accurate information and supportive care remain essential. Early postnatal checks, personalized attention, and open communication can prevent harm while respecting autonomy.

Conclusion
Naomi James’s tragedy illustrates the dangers of free birth and the influence of radical online birth communities. Women seek empowerment and autonomy, but prior negative experiences with maternity care can increase risk. Improving access, respect, and personalized support in maternity services could prevent future tragedies.

