'Cold-blooded' nurse Lucy Letby attempted to murder a baby three times before killing her on the fourth try, and then sent the bereaved parents a sympathy card, a court was told.
In a police interview Ms Letby was asked about the card, and she said sending a card was 'not normal' but it was the only time she had ever done it.

She also accepted she had kept an image of the card on her phone, jurors heard.
She is said to have been 'smiling' after the death and persisted in talking to the girl's mother about how much the baby, referred to only as Child I, had enjoyed her first bath.
Mr Johnson, prosecuting, said Child I was doing well before Ms Letby 'got her hands on her'.

But he said after this all of a sudden came vomiting, breathing problems and critical desaturations.
'It was persistent, it was calculated and it was cold-blooded.'
She is alleged to have murdered seven premature babies and attempted to kill 10 more. 
On Wednesday, Letby sat in the dock wearing a black jacket as she listened to the prosecution.
Ms Letby denies all the 22 charges against her. 
At the close of the third day of Letby's trial , the court has heard over the trial so far:    
Letby, 32, denies murdering seven premature babies and attempting to murder 10 more over 12 months. The deaths occurred at the Countess of Chester Hospital between June 2015 and June 2016. Letby was arrested three years after the death of her first alleged victim, Baby A;ICU nurse is alleged to have injected babies with insulin, air or pumped with milk to kill them - often during night shifts when parents were less likely to be there;Letby allegedly targeted twins on more than one occasion - and in some cases one was murdered and rikvip their sibling survived; She is said to have searched for the families of her alleged victims' parents on Facebook and social media, including on Christmas Day;In some cases, Letby is alleged to have tried to kill babies on up to four occasions, including two times in one shift;Nurse was 'smiling' after one child's death and sent her parents a sympathy card, which was 'not normal'; On a separate occasion, a paediatric consultant claimed he walked in on Letby as she was trying to kill a child; Doctors moved her off night shifts after being concerned about correlation between suspicious deaths and her presence; Made notes about at least one of her attacks in a diary but denied this was a 'souvenir'; Used a baby's haemophilia as 'cover' to attack him, thinking that this would give her an excuse for his bleeding;  Letby denies seven charges of murder and ten charges of attempted murder between 2015 and 2016 at Countess of Chester Hospital
On one night in February 2016, Dr Jayaram (pictured), a paediatric consultant who has appeared on ITV's This Morning and the One Show on BBC, walked in as she was trying to kill a baby identified only as Child K, it is claimed
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