On April 1, 1984, the now Donna Sabia went into labor. She had been followed at the Norwalk (Conn.) Hospital clinic alternately by nurse-midwives and obstetricians. Dr. Maryellen Humes, who was on call that weekend and had never seen Donna, was awakened and informed by nurse-midwife Barbara McManamy that Donna's labor was progressing and that one twin was breech. After a storm of activity, the first baby, delivered by Barbara McManamy, overseen by Dr. Humes, was surprisingly limp, with an Apgar score of 1. As it was too late to do a caesarean, Dr. Humes quickly delivered the second twin, who was dead and already showing macerated skin. The surviving infant, Tony, eventually was found to have seizures, blindness, microcephaly, mental retardation, and feeding problems, and he required total care.