Agree that ethnicity matters. And sorry this happened to you.
In my case - very mixed race and fitting into three ethnic categories (including black) - I gave the midwives a summary of my full ethnic background for both pregnancies.
First time around, I was told the NHS system didn't have space for more than two ethnic categories, so I'd have to pick which two to put down. Remember this is the info used for medical screening etc. - not just a 'nice to have'.
Second time around, no comment was made but I noticed the sticker at the front of my notes had an ethnic description with just two categories (not including black). Again, I assume software issues plus midwife judgment call.
Either way, it meant that if my black ancestry had put me or baby at higher risk, this wouldn't have been flagged because the NHS system apparently cannot cope with mixed ethnic backgrounds.
Obviously not directly relevant to Tori. But I do wonder if this is at least part of the problem in the UK.