I have had two hospital births. One with epidural and one drug/intervention free. My 2nd birth was a planned homebirth but when we had some pTL complications we changed providers nad just never really went back.
This time I knew I wanted a homebirth when I found out I was pregnant. I went back to my origional midwife I had with DS. Then we found out it was twins. Oye... that changes things. I then switched OB's. I went with an OB who didn't think twins was an automatic CS. Little did I realize him and a couple of his colleges are semi-pro homebirth. They aren't for it, but not really against it. They just want to make sure their clients have all the knowledge.
So we kept seeing midwife and just recently at 23 weeks switched for personality reasons. I am seeing two non-licensed midwives, as well as my OB. My OB is aware of homebirth plans and thankfully hasn't really said much. He did explain some additional risks with twins, but wasn't all scare tacticy. Just quite honest.
He said "Twins have a higher risk of PPH". Which makes sense. Your uterus is larger and may have more troubles shrinking down immediately after. Also esp with di/di twins. You have two placentas, so essentially two wounds on your uterus. Protocol still calls a PPH over 500ml of blood loss, however with two wounds theorhetically twice the blood loss seems appropriate.
He also went over some "additional risk to twin B". Explaining that twin B isn't very low or engaged in the pelvis. So as twin A exits, twin B can get themselves in all sorts of funky positions, or cord prolapse (IF their membrane is ruptured) Makes sense to me. I asked how he would handle a hospital situation like that, he stated that generally birthing upright helps them get into a better position, as well if there is cord prolapse depending on how severe a lot of times baby is still kinda way up in there, (Your all stretched out from baby A coming out) they can either gently manipulate cord out of the way of baby and just monitor closely, emergency section, or reach on up in there and pull twin B out
Realistically those all minus emergency CS... are things my midwife can handle.
I think having a good back up plan and a good transfer plan in place is very important, so we are still working on that with our midwives.
I wouldn't expect necessarily as hands off of a birth, there is twice as many babies to keep an eye on. But its definately do- able.
For me knowing what my risks are helps me adn thankfully I was able to find an OB to openly discuss things with him. he's not thrilled I want to homebirth but he isn't negative about it either.
Good luck choosing