Portiuncula University Hospital in Galway has apologised to the family of a six-year-old boy for the failures in care during his delivery.
Lucas Walker, from Ballinasloe in Galway, suffered a brain injury during his birth in November 2014, the High Court was told.
Damien Tansey SC told the court his mother's labour was mismanaged and the baby’s care was also mismanaged before his transfer to the Coombe Hospital in Dublin.
However, the court heard Lucas had made very good progress despite some developmental difficulties and had a particular aptitude for maths.
He is to receive €450,000 as part of a settlement approved by the court. The vast bulk of that, the court heard, will go towards future care.