Can I extend my pregnancy disability after emergency C-section with twins in NICU? Don't want to use PFL yet
I had a complicated pregnancy with twins and started my SDI claim in mid-January 2025, way earlier than I expected. My original due date was supposed to be April 8, but I ended up having an emergency C-section on February 26 when I was only 32 weeks along. My babies are now in the NICU and doctors estimate they'll need to stay there for at least 6-7 more weeks. I updated my disability claim with EDD noting my delivery date, and I understand they'll typically pay my pregnancy disability for 8 weeks after the C-section (until around April 23). My problem is that I don't want to start using my Paid Family Leave yet since my twins aren't even home from the hospital. Is there any way to extend my disability period beyond the standard 8 weeks post-C-section? Can I get a doctor to certify an extension while my babies are still in NICU? Has anyone successfully done this without having to immediately transition to PFL? I'm trying to maximize the time I'll have with them once they finally come home. Really stressed about this timing issue!
18 comments

Caesar Grant
the same thing happned to me last yr, edd will only give u the 8 weeks after csection nomatter what. its stupid but thats how they do it. u have to use ur PFL even if babies r still in hospital or wait and not get paid at all until they come home. edd doesnt care if babies r in nicu.
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Philip Cowan
AuthorThat's so frustrating! Did you end up using your PFL while they were still in the NICU or did you just go without pay for a while? I'm worried about exhausting my leave before they're even home.
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Lena Schultz
You do have options here. The standard pregnancy disability period is 8 weeks for C-section, but you may qualify for an extension if your doctor certifies that you need additional recovery time beyond the standard period. This would be separate from your baby's NICU stay - it would need to be related to your own medical recovery. To get an extension, you would need your doctor to complete a "Supplemental Medical Certification" (DE 2525XX) form stating that you require additional recovery time due to complications from your C-section or other postpartum medical issues. Common reasons include infection, delayed healing, postpartum depression, or other physical complications. This extension would allow you to preserve your PFL benefits for when your twins come home. You'll need to act quickly though, as this request should be submitted before your current disability period ends.
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Philip Cowan
AuthorThank you so much for this detailed information! I didn't know about the supplemental certification option. I definitely have had a harder recovery than expected after the emergency C-section, so I'll talk to my OB about this right away. Do you know how much additional time they typically approve?
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Gemma Andrews
I've been through this exact situation with my premature twins in 2024! Here's what worked for me: I had my OB document specific recovery complications (in my case, excessive blood loss and an infection at the incision site). My doctor submitted the supplemental certification form about 1 week before my regular disability period ended. EDD approved an additional 4 weeks of SDI benefits before I had to transition to PFL. Not everyone gets approved though - it REALLY depends on having specific medical issues with your own recovery, not just because your babies are in NICU. Also important - make sure your doctor is specific about WHY you need more recovery time. Vague reasons often get denied. And submit everything early because EDD is SLOW to process these requests.
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Philip Cowan
AuthorThis is incredibly helpful! I actually am having issues with my incision healing properly and have been back to the doctor twice about it. So there's definitely a medical reason I could use. Did you have any trouble getting your doctor to complete the supplemental form? And did EDD contact you at all during the review process?
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Pedro Sawyer
Have u called edd yet?? They might tell u different stuff over the phone than what the website says. Sometimes the rules r different for special cases
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Philip Cowan
AuthorI tried calling multiple times but keep getting disconnected or told the queue is full. It's so frustrating!
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Mae Bennett
Check if you qualify for State Disability Insurance (SDI) extension due to complications from your C-section. I've found Claimyr really helpful for getting through to EDD agents when I was dealing with my disability claim last month. Their service connects you with an EDD agent usually within 30 minutes instead of spending days trying to get through. You can check out how it works at claimyr.com or watch their demo at https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd. I'd definitely recommend talking directly to an agent about your situation since NICU babies are a special circumstance.
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Beatrice Marshall
Has anyone actually used this service?? Seems weird to pay someone just to make a phone call for you lol. No offense but couldn't you just keep calling EDD yourself?
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Mae Bennett
Actually I used it and it saved me literal DAYS of calling. I tried calling EDD myself for a week straight with no luck - always disconnected. With Claimyr I got through in like 20 minutes. Best money I spent during my whole disability claim nightmare.
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Melina Haruko
I HATE how the system works!!!! They treat us like we're trying to scam them when we're just trying to take care of our families! When my baby was in NICU last year, I was forced to use my PFL while she was still in hospital, which is SO STUPID because then I had less time with her when she finally came home. The whole system is BROKEN and nobody at EDD cares about our actual needs as parents!!!! Why can't they understand that NICU time is different????
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Philip Cowan
AuthorI feel this so much. I'm afraid of using up all my leave time while they're still in hospital care. It doesn't make sense to force us to use our bonding time when we can't even hold our babies whenever we want or take care of them at home.
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Lena Schultz
One important point of clarification - while your disability can potentially be extended based on YOUR medical recovery needs, you also have options with your PFL timing. You don't have to start PFL immediately after disability ends. You can actually choose when to start your PFL bonding time within 12 months of the birth. So technically, you could: 1. Use your normal 8-week disability period 2. If you can't get an extension, go unpaid for a period of time 3. Start your PFL when your babies come home from NICU Obviously, going without income is difficult, but it is an option to preserve your PFL for when they're home. Each parent gets 8 weeks of PFL, so if you have a partner, they could also use their 8 weeks either concurrently with yours or consecutively.
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Philip Cowan
AuthorThank you for explaining this! I didn't realize I could delay starting PFL and that it doesn't have to begin immediately after disability ends. My husband also qualifies for PFL, so we could potentially stagger our leaves to extend the total time. I'll definitely discuss these options with him.
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Gemma Andrews
Based on what you've shared about your healing issues, I think you have a good case for extension. When I went through this, my doctor had to be very specific on the form about my recovery complications. Also, prepare for EDD to possibly request additional medical records or even send you to an Independent Medical Examination (they didn't do this for me, but I've heard others mention it). The key is timing - get your doctor to submit that supplemental certification at least a week before your current disability period ends. If approved, they'll just continue your benefit payments without interruption. If denied, they'll send you a notice and you'll have options to appeal.
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Philip Cowan
AuthorI have an appointment with my OB tomorrow and will definitely bring this up. So glad I asked here first! I'll make sure they're very specific about my healing complications. Thank you so much for sharing your experience - it gives me hope that I might be able to get this extension.
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Sunny Wang
I'm so sorry you're going through this stressful situation with your twins in the NICU. As someone new to navigating EDD benefits, I wanted to ask - for those who have successfully gotten disability extensions, how long did the approval process typically take? I'm in a similar situation (though earlier in pregnancy) and want to understand the timeline in case I need to pursue this option later. Also, did anyone have success getting an extension specifically for mental health reasons like postpartum anxiety/depression related to having babies in NICU? The stress of this whole situation is really taking a toll and I'm wondering if that could be grounds for extended recovery time.
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