Basically, the stats that I have heard is that the risks for morbity and mortality are the same for vaginal breech and for c-section (I don't know if this refers to first time moms or not). The vast majority of OBs are extremely comfortable doing sections, but have never even seen a breech vaginal birth. So of course they are going to do a section. That makes sense to me, that you do what you are most comfortable with in that situation.
Consequently, I have found that most of the docs in this area that attend vaginal breech births are not OBs. They are family practioners--they CAN'T perform sections, so I think they try a little harder to learn other ways of dealing with certain situations, breech included. At least some of them do. They also seem to be the hands off sort of docs. If you don't do a vag exam until mom is well into the pushing stage, and babe is breech, well, you have a breech baby. There are only a handful of them, and interestingly enough, the nurses in general don't like them (control issues?).
Most birth centers do not do them because their accrediting body does not allow it. Membership in this body helps birth centers get insurance, get reimbursed by insurances, provides educational support, etc, so many birth centers are members.
I know of one family practice doc that dismisses her patients to home and then does a breech home birth, if they patients desire a breech vaginal birth over a section, and the doc feels they are good candidates. I think she is so brave. This is a very conservative medical community, and if something ever goes wrong, I fear for her; but I also greatly admire her knowledge and bravery, and her desire to provide babies and moms with gentle, natural births. Docs like this need alot of community support.
The few pictures of breech vaginal births that I have seen performed by docs in our area have involved stirrups if in the hospital. All the moms are on their backs in a semi-reclining position, but actually, I think this is universally considered the best position for a breech vaginal birth. Even the pictures I have seen of moms in an out of hospital setting were semireclining, and dad was behind them. supporting them and helping to hold on to their legs. No episiotomy or forceps, though.