A 20-year-old woman has settled her action against the Health Service Executive over the circumstances of her birth for an interim payment of €1.9m.
Shauni Breen, from Meadowbrook, Riverstown, Glanmire, Co Cork, had sued the HSE over the alleged mismanagement of her birth at Wexford General Hospital in 1997.
Ms Breen has cerebral palsy, spastic diplegia and uses a wheelchair.
The settlement was made without admission of liability.
The case will return to court in five years time for assessment of her future care needs.
In Ms Breen's High Court action it was claimed that on 30 December 1997, when twins were 33 weeks and three days, their mother Marie Foley was admitted to Wexford General Hospital with contractions at 5am.
Her twin Nicole was born healthy at 6.10am.
It was alleged the second stage of labour for Shauni lasted 40 minutes and that the management of her birth was allegedly incompetent.
There was an alleged failure to have an anesthetist and full team ready at the birth and to recognise it as a high-risk birth.
The court was told the claims were denied and the HSE contended the management of the birth complied with general and approved practice for a district maternity hospital at that time.
Senior Counsel John O'Mahony told the court the baby had an abnormal presentation and should have been delivered by Caesarean section within 15 minutes of her sister.
He said when born Ms Breen had to be resuscitated and was transferred to another hospital.
Counsel said Ms Breen is doing well and the care given by her mother throughout the years was extraordinary.
Mr Justice Kevin Cross approved the settlement and commended Ms Breen’s mother and extended family for the care they have given her in the last 20 years.