Smartt v. Ricketts-Holcomb

2026 NY Slip Op 30736(U)
New York Supreme Court, Kings County·Decided February 27, 2026·No. Index No. 501999/2023·Unpublished·Consuelo Mallafre Melendez

Opinion

Smartt v Ricketts-Holcomb 2026 NY Slip Op 30736(U)

February 27, 2026

Supreme Court, Kings County Docket Number: Index No. 501999/2023 Judge: Consuelo Mallafre Melendez Cases posted with a "30000" identifier, i.e., 2013 NY Slip Op 30001(U), are republished from various New York State and local government sources, including the New York State Unified Court System's eCourts Service.

This opinion is uncorrected and not selected for official publication.

file:///LRB-ALB-FS1/Vol1/ecourts/Process/covers/NYSUP.5019992023.KINGS.001.LBLX036_TO.html[03/11/2026 3:45:51 PM]

FILED: KINGS COUNTY CLERK 02/27/2026 05:31 PM INDEX NO. 501999/2023 NYSCEF DOC. NO. 75 RECEIVED NYSCEF: 02/27/2026

At an IAS Term, Part MMESP7 of the Supreme Court of the State of NY, held in and for the County of Kings, at the Courthouse, at 360 Adams Street, Brooklyn, New York, on the 27th day of February, 2026

SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF KINGS --------------------------------------------------------------------------X NATASHA SMARTT and DEVON SMARTT, as Administrators of the Estate of D.S., Deceased, NATASHA DECISION & ORDER SMARTT, Individually and DEVON SMARTT, Individually, Index No. 501999/2023

Plaintiffs, Mo. Seq. 1

-against-

LISA RICKETTS-HOLCOMB, M.D., MELISSA PHILADELPHIA, M.D., GABRIEL TERBANCEA, M.D., ASMA AHMAD, M.D. and NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (KINGS COUNTY MEDICAL CENTER),

Defendants.

--------------------------------------------------------------------------X HON. CONSUELO MALLAFRE MELENDEZ, J.S.C. Recitation, as required by CPLR §2219 [a], of the papers considered in the review: NYSCEF #s: 31 – 59, 60 – 72, 74

Defendants Lisa Ricketts-Holcomb, M.D. (“Dr. Ricketts-Holcomb”), Melissa Philadelphia, M.D. (“Dr. Philadelphia”), Gabriel Terbancea, M.D. (“Dr. Terbancea”), Asma Ahmad, M.D. (“Dr. Ahmad”), and New York City Health and Hospitals Corporation (“NYCHHC”), sued herein as “New York City Health and Hospitals Corporation (Kings County Medical Center”), move for an Order, pursuant to CPLR 3212, granting summary judgment in their favor (Seq. No. 1).

Plaintiffs oppose the motion as to Dr. Ricketts-Holcomb, Dr. Philadelphia, and NYCHHC.

Plaintiffs do not oppose the motion as to anesthesiologist Dr. Terbancea or neonatologist Dr. Ahmad. Accordingly, the part of the motion seeking summary judgment in their favor is

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granted without opposition, and all Plaintiffs’ claims against Dr. Terbancea and Dr. Ahmad are dismissed. The vicarious liability claims against NYCHHC for the alleged acts and omissions of Dr. Terbancea and Dr. Ahmad are also dismissed.

Plaintiffs commenced this action on January 19, 2023, asserting claims of medical malpractice and lack of informed consent in connection with the labor and delivery of infant D.S. on June 28, 2022. Plaintiffs also assert claims for loss of services.

Prior to the events at issue, the Plaintiff mother had received prenatal care through the ob/gyn clinic at Kings County Medical Center, a NYCHHC facility. She was 36 years old and had four children, two born before 2005 and one delivered by c-section in 2018. She had delivered her last child by Vaginal Birth After C-section (“VBAC”) in July 2021.

On May 27, 2022, Plaintiff was examined by ob/gyn Dr. Philadelphia at 33 weeks gestation. Dr. Philadelphia noted the mother’s risk factors including her advanced maternal age, obesity, previous c-section, multiparity (multiple prior births), fibroids, short interval between pregnancies, and gestational diabetes mellitus. Dr. Philadelphia noted the patient was “counseled about Cesarean delivery vs TOLAC [trial of labor after cesarean]; risks/benefits d/w pt and she desires TOLAC.”

On the evening of June 26, 2022, the mother presented to Kings County Medical Center with intermittent contractions and hypertension. She was admitted for induction of labor. Dr. Ricketts-Holcomb was the attending physician directing her care from approximately 10:30 a.m. on June 27, 2022. Dr. Ricketts-Holcomb ordered an intra-cervical balloon for cervical ripening, which was placed at 11:42 a.m.

Between 6:00 p.m. and 7:00 p.m., the mother reported pain at an “8” and vaginal pressure, and she was started on epidural anesthesia. A nursing note from 8:25 p.m. noted “pain,

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vaginal bleeding, leakage of fluid.” Plaintiff testified that the intra-cervical balloon had blood on it when it was expelled around 9:00 p.m.

Dr. Ricketts-Holcomb started the mother on Pitocin around 9:29 p.m. at 2 milli-units per minute. The dosage was increased every half hour. Dr. Ricketts-Holcomb testified that she turned over management of the patient to Dr. Philadelphia, the incoming attending ob/gyn, at 12:00 a.m. on June 28.

According to the medical record, there was a loss of contact in the fetal heart strips from 2:08 a.m. until 2:34 a.m., and additional instances of loss of contact through 2:51 a.m. Dr. Philadelphia examined the patient and reestablished contact. Dr. Philadelphia noted that the mother was receiving Pitocin at 20 milli-units per minute, but her contractions remained irregular.

The mother testified that she continued having abnormal and intense labor pains “for hours,” and that she told nurses that “this is my fifth child and I know something is different.” A nursing summary of care documented that at some point prior to 4:25 a.m., the patient had “complained of increase in labor, stated epidural is not working anymore,” and she was instructed to use the “epidural pump clicker” and perform “deep breathing exercise.”

The fetal heart monitoring strips documented loss of contact again at 4:04 a.m., and for an extended period from 4:13 a.m. through 4:29 a.m. Around this time, Dr. Ricketts-Holcomb returned to examine the mother and found there had been a loss of station. She called a c-section for suspected uterine rupture.

The “stat” c-section was called by Dr. Ricketts-Holcomb at some time between 4:25 a.m.

(the “date of service” recorded by a nurse in the chart the following day) and 4:48 a.m. (the time noted as “procedure prep complete”), though the exact time is disputed by the parties. The

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operative report notes that the c-section was performed by Dr. Ricketts-Holcomb with the assistance of Dr. Philadelphia. The procedure began at 5:02 a.m. and the infant D.S. was delivered at 5:05 a.m. She was apneic and limp at birth and had APGARS scores of 1/1/3. The infant was brought to the NICU and later transferred to Bellevue Hospital at 12:50 p.m. It is undisputed that she sustained hypoxic ischemic encephalopathy and was treated for multiple seizures in the hours after birth.

The infant D.S. spent the remainder of her life between hospitals, nursing homes, and at-

home hospice care due to brain damage, additional seizures, and the need for 24-hour respiratory support. She passed away on April 27, 2023, at 10 months old.

Plaintiffs allege that Defendants Dr. Ricketts-Holcomb, Dr. Philadelphia, and NYCHHC departed from the standard of care by attempting VBAC labor and failing to timely order and perform a c-section. They also allege the mother was not properly informed of the risk of uterine rupture before consenting to VBAC and administration of Pitocin to induce or augment labor. They allege these departures proximately caused the uterine rupture, prolonged fetal compromise, and the infant’s injuries including brain damage and death.

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Smartt v. Ricketts-Holcomb, 2026 NY Slip Op 30736(U) (N.Y. Super. Ct. 2026).

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