Avoidable Baby Death: Leila Benyounes Represents the Family at Inquest

Avoidable Baby Death: Leila Benyounes Represents the Family at Inquest
18 June 2025

Leila Benyounes represented the Family of a baby that died aged 1 day old in an 11 day inquest in Bradford. Leo Luca Thomson was born on 13 November 2018 at the Calderdale Royal Hospital in Halifax.

HM Assistant Coroner Peter Merchant found that Leo’s birth at 34 weeks’ gestation arose due to concerns from a cardiotocograph trace (CTG) indicating Fetal Bradycardia. There was a delay in escalating concerns regarding the CTG trace to a Doctor which in turn led to a delay in the decision to perform a Category 1 Caesarean Section. Further, when the decision to perform the Category 1 Caesarean Section was taken, a maternity theatre was not immediately available. This resulted in a delay of up to 9 minutes in Leo’s delivery.

It was found that earlier delivery would have avoided a corresponding period of neurologically damaging acute profound hypoxic ischaemia such that with the prompt and effective resuscitation that he was given, would, on the balance of probabilities have led to Leo’s survival.

It was also found that there were failures in Leo’s mother’s care in the days preceding Leo’s birth and she should have been diagnosed with a premature rupture of membranes on 12 November 2018, which would have led to an earlier admission to hospital.

Despite prompt and effective resuscitation Leo had suffered Irreversible Hypoxic Ischaemic

Encephalopathy (HIE). Tragically, baby Leo was transferred to Forget Me Not Hospice in

Huddersfield on the day after his birth and he died there.

The inquest heard evidence from 15 witnesses including three independent expert witnesses in midwifery, obstetrics and neonatology.

The local news article can be accessed here.

Ms Benyounes was instructed by Fay Russell of Switalskis.

Leila Benyounes is Head of the Inquests Team at Parklane Plowden Chambers and is ranked by Legal 500 and Chambers and Partners for Inquests and Inquiries and Clinical Negligence. Leila is appointed as an Assistant Coroner in two coronial areas and Leila regularly represents interested persons in a wide range of inquests including Article 2 jury inquests and complex medical matters. She has a special interest in obstetric, birth injury and fatal cases providing representation at inquest and in clinical negligence claims. She has been appointed to the Attorney General Regional Civil Panel Band A since 2010. Her full profile can be accessed here