The first two children were born in the same hospital. The next in row was a girl, born at Kilpauk Medical College Hospital, sold in 2012, for the same price to a family in Ayanavaram.

Manju again got pregnant in 2013 and gave birth to the fourth child at KMC. Premraj, who was in a live-in relationship with another woman, now contacted his wife's sister Deepa and her husband Dharmaraj to see his fourth child. Sensing his plan, Dharmaraj alerted the Egmore police who swung into action.

Though the district child protection officer had named Manju in the complaint, the police found that she was innocent and was coerced by her husband every time she wanted to keep the baby, saying that she will not be able to bring up the baby well when she herself was living on the footpath.