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[quote=Anonymous]Update for anyone else who finds the thread:

I've met with OBs at INOVA Annandale and also OBs at Virginia Hospital Center's Physician Group. Both were open to vaginal birth--and it is recommended by ACOG as well, so most providers shouldn't push you to an automatic C-section (unless, of course, there's a medical indication for it). That said, as a PP pointed out, an important question is whether the OB is conformable with a breech extraction for the second twin. Baby B can shift after Baby A is birthed, so even if both are head-down as labor begins, Baby B may enjoy all that new-found room in the uterus and switch positions. Sometimes the baby can be turned back to head-down position, other times a vaginal breech extraction may be required. Baring extra complications, a breech extraction of Baby B is safe, but not all OBs will be comfortable or experienced with the procedure. So depending on the OB, if Baby B is in breech as labor begins, that might mean they recommend a C-section; other providers will be comfortable with vaginal delivery of a head-down Baby A and a breech extraction of Baby B.

Based on the handful of OBs I've chatted with and the recommendations of several others, including our doula, our OB will be Dr. Owen at VHC. Dr. Rohn at VHC was also recommended to us. GW OBs and midwives were also recommended by a number of folks, including our pre-twin midwife, but they are still not taking new patients.

And it shouldn't need to be said, but of course complications can happen, before or during labor, and a C-section may be recommended for the health of mom, babies, or both. However, without those complications or health concerns, vaginal birth is safer for mom and has better outcomes for babies (even ACOG agrees with that), so I don't see harm asking around to find providers who will not push for surgical birth outside of medical indications for it. Asking these questions or looking for providers with a certain skillset doesn't make someone unable to adapt to changing circumstances in their pregnancy or labor. &lt;3[/quote]

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