I finally got to discuss things with my FPD since finding out that we're having twins, and I was unpleasantly surprised to learn that she strongly recommends an epidural just in case we need to do a c-section quickly. I REALLY want to avoid an emergency c/s with general anesthesia, but mostly I want to avoid a medicated birth, and feel like I'll be more likely to end up with a c/s if we start in with interventions like that. She had never heard of just putting in an epidural catheter without the medication, but said she'd ask the anesthesiologist about it. I'm not sure I'm willing to go that route anyways, assuming I don't have complications, since it would feel like a very disruptive intervention in what should be a natural process. She answered positively to my other concerns, saying I could labor in the jacuzzi with only intermittent monitoring, deliver in the LDR room as long as both twins are vertex (She'd want me in the operating room if the second was breech, and won't deliver the first breech at all). She was supportive with the natural birth of my first baby, and I don't think she'll INSIST on the epidural if I flat out refuse, but I'm really disappointed.
Does anyone have statistics on how often an attempted vaginal birth of twins ends in emergency c/s? I've seen plenty of distressing stats on how many twins are delivered by c/s, but nothing about how likely an emergency one is. Also, is it unreasonable for me to expect to be able to tolerate the manual manipulation of a breech baby B without an epidural? I have a pretty high pain tolerance.
My other option is a naturally minded OB an hour north of us who is the backup for all the (illegally operating) midwives in the area. I hate to count on delivering an hour away from home in February, but he's a visiting specialist at our local hospital and I wouldn't have to travel for the prenatals at least, since he comes down here once a week for that sort of thing.