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A man allegedly tied a rope around a pregnant woman's neck while his girlfriend cut her stomach open and tore out her baby, a court heard.
Savanna Greywind, 22, was eight months pregnant when she went missing from her home in August 2017.
Her parents and frantic boyfriend Ashton Matheny raised the alarm sparking a major police search, according to US media reports.
A neighbour reported hearing a baby's cries coming from the home of 38-year-old Brooke Crews.
When officers arrived they found a newborn they suspected to be Savanna's child.
Crews initially claimed the child was her own.
Days later, the tragic victim's body was found wrapped in plastic and floating down a river in Fargo, North Dakota.