Her defense team said that test results showed Pilkington’s brain has damage from severe abuse and childhood lead poisoning.
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Logan County Prosecutor Eric Stewart also addressed the court, saying he considered what her sons would want him to say for them.
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“I can’t even imagine what they’d want me to say,” he said.
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Pilkington was accused of smothering her three sons, Niall, Gavin and Noah, to death over a 13-month period.
Niall, 3 months, died in July 2014; Gavin, 4, died in April 2015; and Noah, 3 months, died in August 2015.