LaBello v. Albany Medical Center Hospital, 85 N.Y.2d 701 (1995)
A medical malpractice cause of action based on prenatal care accrues on the date of the infant’s live birth, not the date of the negligent act or omission.
Summary
This case addresses when a medical malpractice claim accrues for injuries allegedly caused by negligent prenatal care. The plaintiff, on behalf of her son, sued the hospital for failing to properly assess ultrasound and amniocentesis reports, leading to the child’s birth with severe injuries. The key issue was whether the statute of limitations began running from the date of the negligent act or from the child’s birth. The Court of Appeals held that the cause of action accrues at live birth because, prior to birth, the infant has no legal right to sue. This decision ensures the infant benefits from the infancy disability tolling period.
Facts
Between November 9 and 11, 1982, the Albany Medical Center Hospital allegedly provided negligent prenatal care to Tina LaBello. Specifically, the hospital allegedly failed to properly assess an ultrasound report and an amniocentesis test, allowing the pregnancy to continue beyond full term. As a result, Donald LaBello was born on November 30, 1982, with severe and permanent injuries.
Procedural History
The lawsuit was filed on November 23, 1992, more than ten years after the alleged negligence, but less than ten years after Donald’s birth. The hospital raised a statute of limitations defense. The Supreme Court struck the hospital’s statute of limitations defense, holding that the claim accrued at birth. The Appellate Division reversed, finding that the claim accrued at the time of the negligent act. The Court of Appeals then reversed the Appellate Division.
Issue(s)
Whether an infant’s medical malpractice cause of action, premised on prenatal injuries, accrues at the time of the negligent act or omission, or at the date of the infant’s live birth?
Holding
Yes, because an infant plaintiff’s medical malpractice cause of action, premised on alleged injurious acts or omissions occurring prior to birth, accrues on the earliest date the injured infant plaintiff could juridically assert the claim and sue for relief, that is, the date of being born alive.
Court’s Reasoning
The Court of Appeals reasoned that a cause of action cannot accrue until the plaintiff has a legal right to relief. Before birth, the fetus has no legal identity and cannot bring a lawsuit. The Court relied on Woods v. Lancet, which recognized a cause of action for prenatal injuries, and Endresz v. Friedberg, which clarified that such liability is conditional upon live birth. The Court stated that, “Translated into tort law, this means that there is but a ‘conditional prospective liability * * * created when an unborn child * * * is injured’ through the wrongful act of the defendant, and such liability attaches only upon fulfillment of the condition that the child be born alive.” The court harmonized CPLR 214-a with the common law principle that a cause of action accrues when all elements of the tort can be truthfully alleged in a complaint. Since a fetus cannot bring a lawsuit, the cause of action is incomplete until birth. The court also addressed CPLR 208, the infancy tolling statute, noting that applying the statute of limitations from the date of the negligent act would effectively eliminate the tolling benefit for prenatally injured infants, a result the legislature could not have intended. The Court emphasized that the right to sue is intrinsically linked to the existence of the cause of action itself. “A cause of action is the right to prosecute an action with effect…It is not possible for one at the same time to have a cause of action and not to have the right to sue”.