The Georgia Court of Appeals on Thursday upheld a $46 million medical malpractice verdict and reversed the trial judge’s order to reconsider apportionment in the case.

Judge Sara Doyle used the word “meritless” to describe some of the defense issues on appeal, affirming the jury’s award to the family of Shannon Trabue, who suffered a catastrophic brain injury in a hospital four days after she delivered a healthy baby. Doyle rejected plans to retry the apportionment part of the case but ordered the trial judge to reconsider attorney fee awards to the Trabues.