Interview With Dr. Martyn Pitman On Lucy Letby Child A & B

In this focused clinical session, Dr Martyn Pitman examines the obstetric background to Child A and Child B — twin babies who were central to the prosecution. He discusses the pro-thrombotic risks associated with the mother's clinical history, the significance of monochorionic placentation, the implications of labetalol use in labour, and the absence of cardiac froth at post-mortem as evidence against a large air embolism. Pitman argues that the clinical trajectory of both babies was consistent with known complications of high-risk twin pregnancy and that the absence of obstetric input at trial meant the jury never heard the most relevant medical context. He also addresses the significance of reversed end-diastolic flow on antenatal scanning and what it signals about fetal compromise weeks before delivery.