Private Practice; CharCoop 6x08

14 weeks

Cooper: Uh, sorry.

Charlotte: I'd, uh, just assume to keep it to myself, but since that's not possible, I'm, uh, I'm pregnant... with triplets.

Jake: Wow.

Violet: That's so wonderful.

Amelia: Congratulations.

Sam: That's so great. Yeah.

Charlotte: Okay, who already knew?

Cooper: Time-out. If there's a time and place to lie, it's right here and now.

Charlotte: And don't you dare lie to a pregnant woman. Let's go, people show of hands.

Cooper: Ow.

Charlotte: Is it impossible for you to keep your mouth shut?

Cooper: You told Addison.

Charlotte: She's my doctor. What's your excuse for telling Violet?

Cooper: Doesn't count.

Violet: Thanks Coop.

Cooper: You know what I mean.

Addison: I'm sorry, I told Jake.

Jake: But only so she could pick my brain about pregnancy with multiples.

Amelia: I saw Cooper trolling the Internet for baby names. And not that you asked, but your kid will be panted every day if you name him Otis.

Sam: And Coop was asking me when Naomi started wearing maternity clothes.

Cooper: Mm.

Charlotte: You think I look fat?

Cooper: No, you look beautiful.

Cooper: Beautiful and fat, but beautiful.

Sheldon: I may be the last one to know, but this is fantastic news. Seriously. New life. You--you must be so exited.

Charlotte: I'm exited about the odds that my body might absorb at least one of these freeloaders before birth.

Violet: That's terrible.

Cooper: That's terrible.

Charlotte: That's Darwin. Survival of the fittest.

Amelia: You're gonna find out the sex?

Addison: Well, the ultrasound won't be definitive until closer to 18 weeks.

Cooper: If this technically wasn't a high-risk pregnancy, I wouldn't want to see another ultrasound. I mean, I want the mystery of that. I want the anticipation.

Charlotte: I want to know as soon as possible.

Cooper: But I mean, it would be awesome if it was a surprise, right?

Charlotte: I am pregnant with triplets. That's surprise enough for a lifetime.

Cooper: So we're having triplets.

Jake: Great. Congratulations, man.

~~<>~~

Addison: Okay, everything looks good. The first trimester tests came back negative for trisomy 13 and 18, which means it's unlikely that the kids will have any chromosomal abnormalities. We can go ahead and do an amnio at 16 weeks to be sure.

Cooper: Sounds great. Right, Char?

Charlotte: Fantastic. Are we done?

Addison: No. No. We have to discuss your options.

Charlotte: No, I know my options.

Cooper: I'd like to hear the options.

Addison: With multiples, there's a very high probability of preterm delivery, resulting in low birthweight infants, which are at risk.

Charlotte: I know what they're at risk for.

Cooper: A dead mother. That what they're at risk for, because I just might kill her right now. The problem is, she's carrying my babies, so I guess I should wait.

Addison: Ideally, we want to get to 32 weeks. That gives the babies the best chance. Anything before 26 weeks, and you're looking at the possibility of cognitive and neurological impairments.

Charlotte: Great. Go it. You did your job.

Addison: She has to understand the risks. Can-- can you talk to her?

Cooper: Tell me what we need to know.

~~<>~~

Cooper: Can't sleep?

Charlotte: Ah, bloodsucking ticks are giving me heartburns. Can't wait till they keep me up kickboxing.

Cooper: Anything I can do?

Charlotte: Hmm. Go back in time, wear a condom.

Cooper: So I was talking with Addison this afternoon after you left. And with triplets, you're looking at a lot of possible obstetric complications.

Charlotte: Remember when you ask if there was anything you could do? Stop talking.

Cooper: You're at risk for preterm labor, premature ruptured membranes, gestational diabetes, preeclampsia, and postpartum hemorrhaging. Which means you could die, Charlotte.

Charlotte: Cooper, I'm a doctor. I know what I'm at risk for.

Cooper: Oh, my god. I take back the whole killing her thing. Okay? Is it gone.

Charlotte: I know the possible complications. Quit being so dramatic.

Cooper: I think we need to talk about selective reduction.

Charlotte: How many times do I have to say I don't need to hear this?

Cooper: Reductions from triplets to twins, decrease the risk of severe prematurity and the risk of loosing the whole pregnancy falls from 15% to 4%.

Charlotte: I won't abort.

Cooper: You were hoping that one of them would be absorbed anyway. What's the difference.

Charlotte: Absorb is my higher power at work. Abortion is me making the call.

Cooper: Selective reduction isn't exactly abortion.

Charlotte: It's a shot the the heart of a fetus with potassium chloride. You know how you pick? Whichever one's closest. That's who get the needle. I'm not doing that. I have to pee.

Cooper: Okay, that's horrible, but if loosing one means you can save two, if loosing one would mean Charlotte would be okay? I don't know. I don't know. I'm the dad, so I should have a say, but right now mom's doing all the hard work. It's Charlotte's body, it's her life, it's her choice. But I can't lose her and I don't want to lose any of my babies. So what the hell do I do? What do I do?

Charlotte: Cooper. We told Mason he was having three siblings.

Cooper: Then Mason's having three siblings.