A pregnant woman had previously given birth, vaginally, to three very large babies. The most recent of these had experienced shoulder dystocia during delivery. Ultrasound during pregnancy established that the fourth child would also be very large. The mother asked the obstetrician about the possibility of a C-section but was told that was not necessary. Unfortunately, the baby experienced severe shoulder dystocia during delivery, leading to a brachial plexus injury which caused permanent disability of one of his arms. The mother herself suffered a vaginal-rectal tear which led to recurrent incontinence. Both claims were settled for the
amount indicated above.