A Local Safeguarding Children Board (LSCB) has published an anonymised serious case review into the artificial insemination of a girl, from the age of 13 onwards, arranged by her adopted mother which eventually resulted in the birth of a child. Issues identified include: an illegal adoption; the neglect, emotional abuse and social isolation of the adopted children; the physical abuse of the youngest child; the children’s home schooling to avoid scrutiny of their care. Recommendations include: ensuring that multi-agency guidance on the safeguarding of children who are electively home educated is informed by the findings of the review; LSCBs should remind General Practitioners of the potential safeguarding implications of miscarriages in girls under the age of 16