Child C
The prosecution’s theory: Air pushed into stomach via NG tube.
Outcome: Died 14 June 2015
Gestation: 30+1 weeks, 800 g, severe intrauterine growth restriction
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Prosecution theory
Air pushed into stomach via NG tube.
Method alleged: Forced air insufflation into the stomach via nasogastric tube causing diaphragmatic splinting.
Prosecution experts: Dr Dewi Evans; Dr Sandie Bohin.
Panel view (Feb 2025)
Panel: died following a decision to discontinue respiratory support after inadequate resuscitation; prior signs of intermittent bowel obstruction had gone unrecognised.
Pathology
Panel conclusion: Baby 3 died because of a decision to discontinue respiratory support and resuscitative effort in the face of a poor response, following inadequate resuscitation for at least 20 minutes after an acute episode of apnoea. The Panel further found that clear prior signs of intermittent bowel obstruction — which warranted an urgent surgical opinion and investigation — had gone unrecognised. His intrauterine growth had been extremely poor (800 g at 30+1 weeks, against an average of about 1.4 kg).
Natural-cause alternatives identified
- Ineffective ventilation for at least 20 minutes during the resuscitation — the Panel's stated cause
- Unrecognised intermittent bowel obstruction requiring urgent surgical review
- Extreme intrauterine growth restriction (800 g at 30+1 weeks)
What the jury did not hear
- The Panel's conclusion that the death followed inadequate resuscitation and a decision to withdraw support.
- That clear prior signs of intermittent bowel obstruction went unrecognised and were never surgically reviewed.
Key primary sources
- International Expert Panel — Additional 10 Cases report (June 2025), Panel Baby 3: https://lucyletbyinnocence.com/shoo-lee/International%20Expert%20Panel%20New%20Summary%20Report%20of%20additional%2010%20cases.pdf
- R v Letby sentencing remarks (August 2023)
Read the full long-form analysis →
Sources:
- Court of Appeal judgment (May 2024) and sentencing remarks — judiciary.uk
- Shoo Lee International Expert Panel Report (February 2025) — lucyletbyinnocence.com
- Per-baby trial evidence archive — lucyletbyinnocence.com
This page uses only the court-assigned code and publicly reported facts. The court imposed lifelong anonymity on every family; this site does not contact families and does not speculate about private circumstances.