May 2026: Thirlwall Inquiry report delayed to at least September 2026 · six-baby inquests relisted to 2027 · CCRC review active · Shoo Lee Panel: no medical evidence of deliberate harm.
Outcome: Survived
Gestation: Twin 2, male; 33+2 weeks, 1.703 kg, severe intrauterine growth restriction
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Air embolism.
Method alleged: Air embolism via IV line.
Prosecution experts: Dr Dewi Evans; Dr Sandie Bohin.
Panel: the desaturation and bradycardia were caused by apnoea from sepsis or the Eustachian valve. The resuscitation was suboptimal. No evidence of air embolism.
No fatal outcome. Panel conclusion: Baby 13's desaturation and bradycardia were caused by apnoea from sepsis or the Eustachian valve; the resuscitation was suboptimal; and there was no evidence of air embolism.
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