12:16pm
Child E - murder allegation
Child E, a boy, was born premature in July 2015.
The prosecution say this is the twin brother of the child poisoned with insulin.
Child E was born, weighing less than 3lbs. He was given oxygen, then weaned to air, and transferred to nursery 1.
12:19pm
The court hears Child E was at risk of a serious gastro-intestinal disorder, NEC, and was started on antibiotics, IV fluids and caffeine.
He had a nasogastric tube inseted. Fluids were inserted the following day via a long line.
He had a "mild, transient high blood sugar" was was corrected with "a very low dose of insulin", then given tiny quantities of milk the following day, every two hours.
The following day after that, he had two small vomits and air was aspirated, but otherwise the feeds were well tolerated and increased incrementally to 2ml every 2 hours.
The nursing notes indicated he was stable, on a tiny dose of insulin to correct high blood sugar.
12:20pm
At 9pm on August 3, 2015, the mother decided to visit her twin sons, and "interrupted Lucy Letby who was in the process of attacking Child E", the prosecution say, although the mum "did not realise it at the time".
12:21pm
Child E was 'acutely distressed' and bleeding from the mouth.
The mum said Letby attempted to reassure her the blood was due to the NGT ittirating the throat.
"Trust me, I'm a nurse," Mr Johnson told the court.
12:22pm
Letby said the registrar would be down to review Child E, and urged her to return to the postnatal ward.
The mum called her husband when she got to the labour ward, in a call lasting four minutes and 25 seconds, at 9.11pm.
Letby made a note in Child F's records (Child F being the twin of Child E), "after she had got rid of" the mum, Mr Johnson said.
The next time the mum visited Child E, he was in terminal decline.
12:28pm
The prosecution say the mum was "fobbed off" by Lucy Letby.
Two records are made at 4.51am, after Child E had died.
The later note records: "Mummy was present at the start of shift attending to cares. Visited again approx. 22:00. Aware that we had obtained blood from his NG tube and were starting some different medications to treat this. She was updated by Reg xxxxx and contained [Child E]. Informed her that we would contact her if any changes. Once [Child E] began to deteriorate midwifery staff were contacted. Both parents present during resus."
The prosecution say Letby's note suggests the mum was present at the start of the shift (7.30pm-8pm), and returned at 10pm, when "neither is true".
The prosecution say 9pm was an important time, as it was the time Child E was due to be fed, by his mother's expressed breast milk.
The mum said that is why she attended at 9pm. "She was bringing the milk".
The phone call at 9.11pm to her husband also fits the mum's timing, the prosecution add.
THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…
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