A delay in recognizing fetal distress lead to a rushed delivery. During the process the baby’s shoulder became lodged, a condition known as “shoulder dystocia”. By pulling too hard the doctor caused severe damage to the brachial plexus nerves, which left the infant with a non-functional arm. Subsequent reconstructive surgery was only partially successful. We were able to facilitate the creation of a comprehensive life care plan projecting the needs of the child as she grew and progressed into and through adulthood. The recovery was structured to ensure that the financial resources to fulfill those needs would be available for life.