Dr Stuart Gray, whose father David died in February 2008 after accidentally receiving 10 times the the maximumdose of diamorphine from Dr Daniel Ubani, told the programme that without a change to the current out-of-hours system, "there will be other cases".
The report also recommends that the authorizations to suppliers be limited to certain outlets required to label the product with a clear description of its contents, its risks and the maximum advisable dose.
The size of the dose, though variable, is thus the maximum that will benefit any given embryo, so the mother is not so much discriminating among her offspring as trying to do the best by each of them.