The High Court has approved a settlement of €10m in the case of a 24-year-old woman who was brain injured at birth.
Lawyers for Cora Sexton, from Clontarf in Dublin, told the court that as a result of the management of her birth she had suffered a lack of oxygen and has cerebral palsy.
The settlement was made without admission of liability.
Senior Counsel Dr John O'Mahony said Cora should have been delivered by caesarean section three to four hours earlier.
He said it was their case that staff at the Coombe Hospital had failed properly recognise the signs of distress on a CTG monitor.
Dr O'Mahony said the case was complicated by the fact that the CTG trace was mislaid. It was also alleged that Cora was not properly treated after her birth and there was a delay in getting her on a ventilator and an administration of a "toxic level" of a barbiturate.
The settlement, which is without an admission of liability, was reached after mediation.
Cora's mother, Rita Fitzgerald, told the judge her daughter is very happy "in her own little world" and likes music and playing tag rugby.
Ms Sexton had sued The Coombe Women and Infants University Hospital, Cork Street, Dublin through her mother over the circumstances of her birth in September 1997.
It was claimed she was allegedly caused to suffer a lack of oxygen at birth causing brain damage which has led to cerebral palsy and long-term developmental problems.
After delivery, it was claimed that Cora developed seizures and she later developed a left-sided weakness.
The claims were denied and it was claimed there was inexcusable delay in bringing the proceedings.
The hospital further contended it would be prejudiced in its defence of the action and in the investigation of the claims because of the absence of the CTG.
Approving the settlement, Mr Justice Paul Coffey praised the level of care given to Cora by her parents.
