A mother accused of poisoning her nine-year-old daughter allegedly administered urine into the child's jugular, court documents stated.
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The mother, who cannot be identified, made a brief appearance in Cessnock Local Court on Wednesday.
She was charged in July with one count of assault occasioning actual bodily harm and one count of endangering the child's life by poisoning her.
Police allege the assault occurred at John Hunter Hospital in January 2014, while the poisoning occurred at Westmead in March this year, court documents stated.
The alleged act of poisoning was administering urine into a "central venous line" linked to the girl's jugular, the documents stated.
Outside the court, the mother's solicitor Michael Nott said: "The charges will be vigorously denied."
The mother shook at times during her appearance in court.
She was supported by about a dozen friends and family.
Magistrate Ron Maiden adjourned the case to Newcastle Local Court on October 14.
No pleas were entered and the mother's bail was continued.
Officers from the Child Abuse Squad began investigating the mother in March after the child was admitted to hospital with life-threatening renal failure and other serious medical conditions.
The child has since recovered and is the subject of care proceedings in the Children's Court.
Mr Nott was unable to provide an estimate as to how the long the care proceedings will take.
