The High Court has approved a settlement of €23.5m to a 16-year-old girl who suffered catastrophic brain injuries during her birth.

The lump sum settlement is the largest to date in the State to an Irish resident for this type of action.

Kameela Kuye, from Upper Clevedon, Kilmoney, Carrigaline, Co Cork, had sued through her father.

The settlement was approved without an admission of liability.

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The court heard Kameela was "next to death" and in "extremely poor condition" when she was born on 22 December 2004 at St Finbarr's Hospital in Cork.

Kameela's legal team argued that monitoring of the foetal heart beat during labour was negligent and her injuries could have been prevented.

It was claimed that failure to recognise that the baby was in distress resulted in a failure to intervene and deliver Kameela before she was deprived of oxygen and suffered a severe brain injury.

Kameela was born with the umbilical cord wrapped around her neck.

The Health Service Executive denied liability.

It said the foetal heart rate monitoring was appropriate and consistent with the acceptable standard of care for an Irish maternity hospital in 2004.

It said the heart rate was monitored at least every 15 minutes during the first stage of labour and at least every five minutes during the second stage of labour, as opposed to continuous electric monitoring.

In its defence to the claim, the HSE said there was no reason for concern for the mother as she was 28 years old and had already given birth to two babies with no complications.

The HSE said the first indication of a potential heart rate deceleration was eight minutes before the baby was delivered.

It said at that point if an obstetric registrar had been notified it would have been highly unlikely that the baby would have been delivered any sooner.

The defence documents said it would have taken a number of minutes for the obstetric registrar to attend and any potential interventions would have required the administration of anaesthesia, which would also have taken a number of minutes.

It said the outcome would have been the same.

The Kuye family said no amount of money can change Kameela's life and the damages will not alleviate her profound injuries.

In a statement read by their solicitor after the hearing, they said it will assist in her future care and give her a better quality of life.