The High Court has approved an initial award of €1.4m for an eight-year-old girl seriously injured at birth.
Through her mother, Alex Butler sued the Health Service Executive and two consultants claiming negligence, breach of duty and breach of contract.
Alex is tetraplegic with cerebral palsy and is wheelchair-bound.
Mr Justice Sean Ryan approved the award and the family will return to court in two years for a decision on care packages for the future.
In a statement read to the court, the HSE said Waterford Regional Hospital wishes to say sorry to Alex for the injuries she received at her birth, which the hospital accepts should not have happened to her.
The hospital sincerely regrets the tragic consequences their failings have caused to both Alex and her parents, the court heard.
Alex was born in the hospital on 12 April 2005.
Sonya Butler's consultant was on leave and a locum consultant obstetrician delivered the baby.
Alex was limp and blue at birth and had seizures in her first few hours of life.
The actions against the two consultants were struck out today.
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