[71] OPINION OF THE COURT
Milonas, J. P.
This case concerns a matter of first impression in New York State; specifically, whether an individual can be convicted of the homicide of an infant who succumbs following a premature Caesarean birth necessitated by the shooting of her pregnant mother. In that regard, the facts educed at trial demonstrate the following:
On the evening of May 16, 1986, defendant Leonard Hall became engaged in a fistfight with Darryl Aaron in a grocery store at Lenox Avenue and 127th Street in Manhattan. After the two men were separated, defendant left to procure a gun. He then returned to the scene of the altercation and waited across the street until Aaron emerged from a corner pool hall. Defendant thereupon opened fire at Aaron, who managed to avoid being hit by ducking for cover. However, two of the bullets hit a passerby, Brigette Garrett, who was on her way to nearby Sylvia’s Restaurant, striking her in the arm and the abdomen. Despite being seriously injured, one of the shots having penetrated her uterus and also damaging the intestinal-bowel system, she survived. Garrett was, at the time, some 28-to-32-weeks pregnant, and the shot to the stomach also severed the placenta, resulting in a lack of oxygen to the fetus, which mandated an immediate delivery. The baby, Atallia, was born by Caesarean section and lived for some 36 hours before expiring from a series of maladies attributed to prematurity and oxygen deprivation.
Two days after the incident, defendant stated to his girlfriend, Pam Smith, that he had shot a man who had "smacked” him and that the man was "through”. The next evening, defendant, learning that his bullets had actually hit a pregnant woman whose baby had died, advised Pam that he intended to turn himself in. Two police officers observed the couple, arguing and shoving each other on the street, approached them and inquired as to the source of the trouble. Smith informed defendant that if he did not tell the police, she would. Accordingly, defendant, although initially denying that he was the perpetrator, disclosed that he had witnessed the shooting. He provided the police with a written statement to that effect at the station house but, almost immediately, altered his account, conceding that he was the person who had fired the gun. Moreover, defendant first claimed that he had shot at Aaron in self-defense after Aaron fired at him before [72] eventually admitting that Aaron was not even in possession of a gun.
On July 31, 1986, defendant was indicted for attempted (intentional) murder in the second degree with "John Doe” as the intended victim, criminal use of a firearm in the first degree and assault in the first degree (upon Brigette Garrett). A superseding indictment was filed on September 15, 1986 charging him with the foregoing three counts, as well as two counts of (intentional and depraved indifference) murder for the killing of Atallia Garrett and criminal possession of a weapon in the second degree. Defendant subsequently moved to dismiss the murder charges, urging that Atallia Garrett was not born alive and, thus, was not a legal person as statutorily mandated for a homicide conviction. The Supreme Court (William Davis, J.), however, denied the motion, concluding that Atallia was a person as defined by section 125.05 (1) of the Penal Law (134 Misc 2d 515). Following a pretrial hearing conducted in connection with defendant’s motion to suppress three written statements, at the conclusion of which the court ruled that they were all admissible, he proceeded to trial. By motion of the People, the counts of attempted murder and criminal use of a firearm were dismissed. A mistrial was declared on October 18, 1987 when the jury was unable to reach a verdict. A second trial commenced on February 18, 1988, and, on this occasion, he was found guilty of the lesser included offense of manslaughter in the second degree with respect to Atallia’s death, and he was also convicted of first degree assault upon Brigette Garrett and criminal possession of a weapon in the second degree.
The instant appeal ensued, and defendant now challenges the judgment against him on a variety of grounds. First, and foremost, he insists that Garrett’s baby was not a "person” as contemplated by Penal Law § 125.05 (1) and that, therefore, his conviction for manslaughter in the second degree violates certain principles of statutory construction and constitutional proscriptions and, moreover, was not supported by sufficient evidence. In addition, he asserts that his third statement should have been suppressed as the product of a delay in arraignment and that he was improperly sentenced as a second felony offender. There is no merit to any of these arguments.
The evidence at trial insofar as it relates to the Garrett baby shows that when Brigette Garrett was brought to Harlem Hospital, she was suffering from shock and the conse[73] quences of her serious injuries. Abdominal X rays were taken to ascertain the size and position of her fetus. A sonogram was also performed, and it revealed the presence of a fetal heartbeat. Garrett was then rushed to the operating room where an exploratory laparotomy was undertaken. At this point, it became evident that one bullet had entered her abdomen, passing through the top of her uterus, as well as her flanks, and exited her lower back. Part of the placenta was protruding from the wound. In the view of Dr. David Bateman, the Chief of Newborn Services and attending physician, the wound to Garrett’s abdomen necessitated terminating the pregnancy since the bullet had separated the placenta from the womb, thereby cutting off the baby from her mother’s oxygen and nutrient supply. According to Dr. Bateman, there would have been no reason for an early delivery by Caesarean section except for the gunshot wound. A team of obstetrical surgeons delivered the baby, which was of some 28-to-32-weeks gestation (the normal period is 40 weeks) and turned her over to a team of neonatalogists. In the meantime, another group of doctors operated on Garrett.
The infant weighed some 2 pounds 5 ounces at birth. Dr. Bateman testified that 90% of premature babies of this weight survive. However, Atallia, as a result of her prematurity, compounded by oxygen starvation due to the rupture of the placenta, was very unhealthy at the moment of her removal from her mother’s womb. She had an Apgar score of 1 (the system utilized by hospitals to measure a baby’s condition at birth, which assigns a value of from 0 to 2 for each of 5 variables for a maximum of 10, with a score of 0 meaning the absence of life and any positive score reflecting the existence of life) because her heart rate was less than 100 beats per minute, and she was limp. Yet, there was no indication of any congenital malformation or birth defects. Since Atallia’s lungs were collapsed at the time of birth, she was immediately placed on a respirator to assist her in breathing. In addition, fluid and sugar were administered intravenously, and she was attached to a cardiac monitor.
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[71] OPINION OF THE COURT
Milonas, J. P.
This case concerns a matter of first impression in New York State; specifically, whether an individual can be convicted of the homicide of an infant who succumbs following a premature Caesarean birth necessitated by the shooting of her pregnant mother. In that regard, the facts educed at trial demonstrate the following:
On the evening of May 16, 1986, defendant Leonard Hall became engaged in a fistfight with Darryl Aaron in a grocery store at Lenox Avenue and 127th Street in Manhattan. After the two men were separated, defendant left to procure a gun. He then returned to the scene of the altercation and waited across the street until Aaron emerged from a corner pool hall. Defendant thereupon opened fire at Aaron, who managed to avoid being hit by ducking for cover. However, two of the bullets hit a passerby, Brigette Garrett, who was on her way to nearby Sylvia’s Restaurant, striking her in the arm and the abdomen. Despite being seriously injured, one of the shots having penetrated her uterus and also damaging the intestinal-bowel system, she survived. Garrett was, at the time, some 28-to-32-weeks pregnant, and the shot to the stomach also severed the placenta, resulting in a lack of oxygen to the fetus, which mandated an immediate delivery. The baby, Atallia, was born by Caesarean section and lived for some 36 hours before expiring from a series of maladies attributed to prematurity and oxygen deprivation.
Two days after the incident, defendant stated to his girlfriend, Pam Smith, that he had shot a man who had "smacked” him and that the man was "through”. The next evening, defendant, learning that his bullets had actually hit a pregnant woman whose baby had died, advised Pam that he intended to turn himself in. Two police officers observed the couple, arguing and shoving each other on the street, approached them and inquired as to the source of the trouble. Smith informed defendant that if he did not tell the police, she would. Accordingly, defendant, although initially denying that he was the perpetrator, disclosed that he had witnessed the shooting. He provided the police with a written statement to that effect at the station house but, almost immediately, altered his account, conceding that he was the person who had fired the gun. Moreover, defendant first claimed that he had shot at Aaron in self-defense after Aaron fired at him before [72] eventually admitting that Aaron was not even in possession of a gun.
On July 31, 1986, defendant was indicted for attempted (intentional) murder in the second degree with "John Doe” as the intended victim, criminal use of a firearm in the first degree and assault in the first degree (upon Brigette Garrett). A superseding indictment was filed on September 15, 1986 charging him with the foregoing three counts, as well as two counts of (intentional and depraved indifference) murder for the killing of Atallia Garrett and criminal possession of a weapon in the second degree. Defendant subsequently moved to dismiss the murder charges, urging that Atallia Garrett was not born alive and, thus, was not a legal person as statutorily mandated for a homicide conviction. The Supreme Court (William Davis, J.), however, denied the motion, concluding that Atallia was a person as defined by section 125.05 (1) of the Penal Law (134 Misc 2d 515). Following a pretrial hearing conducted in connection with defendant’s motion to suppress three written statements, at the conclusion of which the court ruled that they were all admissible, he proceeded to trial. By motion of the People, the counts of attempted murder and criminal use of a firearm were dismissed. A mistrial was declared on October 18, 1987 when the jury was unable to reach a verdict. A second trial commenced on February 18, 1988, and, on this occasion, he was found guilty of the lesser included offense of manslaughter in the second degree with respect to Atallia’s death, and he was also convicted of first degree assault upon Brigette Garrett and criminal possession of a weapon in the second degree.
The instant appeal ensued, and defendant now challenges the judgment against him on a variety of grounds. First, and foremost, he insists that Garrett’s baby was not a "person” as contemplated by Penal Law § 125.05 (1) and that, therefore, his conviction for manslaughter in the second degree violates certain principles of statutory construction and constitutional proscriptions and, moreover, was not supported by sufficient evidence. In addition, he asserts that his third statement should have been suppressed as the product of a delay in arraignment and that he was improperly sentenced as a second felony offender. There is no merit to any of these arguments.
The evidence at trial insofar as it relates to the Garrett baby shows that when Brigette Garrett was brought to Harlem Hospital, she was suffering from shock and the conse[73] quences of her serious injuries. Abdominal X rays were taken to ascertain the size and position of her fetus. A sonogram was also performed, and it revealed the presence of a fetal heartbeat. Garrett was then rushed to the operating room where an exploratory laparotomy was undertaken. At this point, it became evident that one bullet had entered her abdomen, passing through the top of her uterus, as well as her flanks, and exited her lower back. Part of the placenta was protruding from the wound. In the view of Dr. David Bateman, the Chief of Newborn Services and attending physician, the wound to Garrett’s abdomen necessitated terminating the pregnancy since the bullet had separated the placenta from the womb, thereby cutting off the baby from her mother’s oxygen and nutrient supply. According to Dr. Bateman, there would have been no reason for an early delivery by Caesarean section except for the gunshot wound. A team of obstetrical surgeons delivered the baby, which was of some 28-to-32-weeks gestation (the normal period is 40 weeks) and turned her over to a team of neonatalogists. In the meantime, another group of doctors operated on Garrett.
The infant weighed some 2 pounds 5 ounces at birth. Dr. Bateman testified that 90% of premature babies of this weight survive. However, Atallia, as a result of her prematurity, compounded by oxygen starvation due to the rupture of the placenta, was very unhealthy at the moment of her removal from her mother’s womb. She had an Apgar score of 1 (the system utilized by hospitals to measure a baby’s condition at birth, which assigns a value of from 0 to 2 for each of 5 variables for a maximum of 10, with a score of 0 meaning the absence of life and any positive score reflecting the existence of life) because her heart rate was less than 100 beats per minute, and she was limp. Yet, there was no indication of any congenital malformation or birth defects. Since Atallia’s lungs were collapsed at the time of birth, she was immediately placed on a respirator to assist her in breathing. In addition, fluid and sugar were administered intravenously, and she was attached to a cardiac monitor.
Within the first 10 minutes after delivery, Atallia’s Apgar score had risen to 4. Although she was still gravely ill, she had begun circulating blood effectively on her own, and she was making some respiratory effort. At 12 hours of age, Dr. Bateman observed that she was moving her arms and legs, a sign of brain activity. Thereafter, she developed hyaline membrane disease, also known as respiratory distress syndrome, [74] common to premature infants. There was, moreover, testimony that this disease only occurs in a baby who is born alive and that a baby who never breathes or dies in útero never develops the syndrome. Dr. Bateman stated that, in his opinion, the bullet wound to Brigette Garrett, which severed the placenta and deprived the fetus of oxygen, impacted upon Atallia’s development of hyaline, membrane disease following birth. Dr. Tamara Bloom, an associate medical examiner, agreed that the disease could have been caused by the interruption of the flow of oxygen from the mother to the fetus.
Notwithstanding the efforts made to treat her, Atallia died 36 hours after she was born. The ensuing autopsy, which was performed on May 20, 1986, disclosed that the baby’s weight had increased by 35 grams, that her lungs were heavy, airless and congested, symptomatic of hyaline membrane disease, and that she had sustained an intraventricular hemorrhage (bleeding in the brain). Dr. Bateman asserted that he believed the hemorrhage to have been formed after birth as a direct consequence of the cutoff of oxygen in the placenta. Dr. Bloom also expressed the view that the hemorrhage was of recent vintage. In any event, while Atallia’s circulatory system was adequate, her organs were severely congested, a fact due to an insufficiency of oxygen. The cause of death was described as being "prematurity, Hyaline Membrane Disease, and intraventricular hemorrhage in the brain”.
All of the doctors who treated or examined the infant were convinced that she was alive at the time of her birth and until she finally succumbed 36 hours later. Indeed, the autopsy revealed that her tissues were fresh and well preserved, and, according to Dr. Bloom, the tissues would not have been in this condition if she had been born dead. Similarly, Dr. Bloom explained that there was clear evidence of the baby’s having breathed following birth as the duct connecting the major blood vessels and the heart were closed, and closure takes place only after birth. Further, Atallia’s birth fits the statutory criteria for being alive. Pursuant to Public Health Law § 4130 (1): "Live birth is defined as the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of pregnancy, which, after such separation, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached; each product of such a birth is considered live born.”
[75] Since Atallia’s birth was a live one under New York law, a birth certificate was filed for her. In contrast, the definition of "fetal death” was certainly not met herein. Pursuant to section 4160 (1) of the Public Health Law, fetal death is "death prior to the complete expulsion or extraction from its mother of a product of conception; the death is indicated by the fact that after such separation, the fetus does not breathe or show any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definitive movement of voluntary muscles”. Atallia had been fully expelled from her mother; she was no longer attached to the placenta, had a heartbeat and was capable of independent circulation. She also made respiratory efforts on her own and even showed signs of spontaneous movement. Under these circumstances, there can be no doubt that she was born alive despite defendant’s persistent refusal to recognize such an obvious fact. Thus, he unrelentingly refers to Atallia not as a baby or infant or by name, but simply as a fetus, as if by characterizing her as a fetus on enough occasions he can transform her live birth into a miscarriage or a feticide. Defendant, of course, emphasizes that Atallia was in extremely precarious health at birth. In that regard, he points to her having been born limp, to her possessing an Apgar score of only 1 at the time, her having immediately been placed on a ventilator and to the lack of spontaneous movement at the time of birth.
Defendant, additionally, appears to advance the novel proposition that someone who requires the assistance of modern medical technology to survive, even temporarily, is not really alive. However, it is unclear whether this theory is to be applied only to the newborn or to all people irrespective of age. Perhaps defendant is suggesting that only those persons who have first been the beneficiaries of good health can be considered alive if they subsequently develop medical problems necessitating technological intervention