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Prosecution of parents over baby’s death raises controversy over diagnosing child abuse

BMJ 2012; 344 doi: (Published 23 April 2012) Cite this as: BMJ 2012;344:e2932
  1. Clare Dyer
  1. 1BMJ

Parents whose baby son died after a fractured skull and bleeding into the brain have won the right to keep their second child after a clash of experts in the family court.

The case of Jayden Wray, who, unknown to his parents and doctors, had severe congenital rickets when he died aged 4 and a half months, has focused new attention on the controversy over the classic “triad” of encephalopathy and subdural and retinal haemorrhages and the extent to which it is diagnostic of trauma.

His parents, Rohan Wray and Chana Al-Alas, were cleared of murdering him at the Old Bailey last December after a six week trial. Experts disagreed over whether the parents were to blame, and the judge directed the jury to acquit them.

But the London Borough of Islington took their second child, a daughter, into …

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