The inquest heard that Kaiya's mother was epileptic and prescribed anticonvulsant medication: She had been prescribed this for a number of years and fell within the guidance for management criteria; Her GP practice did not have any records of recent medication being prescribed although there was clear evidence given to the inquest of regular request for repeat prescriptions being requested and dispensed by a local pharmacy. It was not possible to establish at the inquest why this gap in records existed; When Kaiya's mother attended at her GP appointment and her midwifery booking-in appointment; the clinical staff involved did not appreciate the need to seek urgent guidance themselves from the neurology department regarding ongoing prescribing to reduce the risk of foetal abnormalities to the unborn child; Despite her mother falling into the high risk category, a routine consultant appointment was offered: There was no clarity as to how this need was not picked up at the time_