Plot summary
Cooper breaks the fourth-wall, in this episode when he address the audience about Charlotte's pregnancy. Cooper brings Charlotte her breakfast, only for her to wake up and have her water break. In a series of flashbacks, Charlotte gets angry when she finds that Cooper didn't keep her pregnancy a secret. Addison tries to talk to Charlotte about her options, but Charlotte is shocked when Cooper begins suggesting terminating one of the babies' lives. Violet makes a new friend from her grief group. Charlotte and Cooper get kicked out of Lamaze class for making fun of all of the people in the class.
Cooper and Charlotte argue over what religion to raise the children, and they learn that all the triplets are girls. Amelia talks Charlotte into letting her throw her a baby shower for the babies. At the hospital Addison is forced to deliver one of the triplets at 26 weeks, horrifying Charlotte and Cooper. Addison has to sew Charlotte's cervix shut, so she doesn't deliver any of the babies early. Cooper tells Charlotte that the baby lived, and she breaks down crying, as she can't see the baby as she's put in the trendelenburg position so the other babies aren't delivered early.
Credits
Adapted from Wikipedia contributors, Private Practice season 6. HTML formatting and reference markers removed.