I had an amazing twin VBAC in the hospital at almost 40 weeks to di/di ID twins. It was just my husband, midwife, ob, and two nurses. I felt nothing but love and support. This was at a hospital with an extremely high c/s rate. However, my providers were amazing and supportive. They key is the providers (IMHO) and not the location.
I really never felt comfortable with a homebirth. Looking back at my birth - it could have happened at home. But it was in a hospital with the availability of immediate emergency care and a NICU if needed. My twin b did turn transverse. The ob was able to turn her - but that could have become a scary situation. I did have some heavy bleeding but the IV pitocin was able to control it.
If I were to have another baby and it was a singleton - I would birth at home. I believe in home birth very much. However, twins are more complicated. I'm not telling you not to pursue it. But - as hard as it is to come to turns with - it is higher risk.
As far as an emergency c/s --- if you are in a hospital --- my OB said that from the time of the emergency to baby would be less than 5 minutes. This was without an epidural and needing general. However --- I was in the hospital, had a saline lock, monitoring, an OR room ready to go, care providers who were right there with me. I don't think it is fair to say that response time at home or even outside the hospital is the same as being right there in the unit.
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