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Go with your gut feeling. If you are going to VBAC you have to really want it. If it was a singleton, I might encourage you to try VBAC, but with twins, well... it really comes down to your feelings on the issue.

Personally I would probably do what you are thinking- just go for the repeat csection. It seems like most twin births result in at least one being a csection- though just anecdotally, I'm thinking yor doctor knows a whole lot more about it than I do! Can you talk to your doctor about what the rate of Vbac vs ending up with a csection anyway is, with twins?

@marionberry: oh wow! I had no idea.

How long would yor trial of labor be? Like, could you call it and go csection at any point? Who would make that decision? You or the OB? If OB, what will be the criteria for switching to csection?

Have you had a growth scan recently? How are your babes measuring? How is B measuring in comparison to A? What positions are they in? Have you been having your cervix measured? Any thinning? Will you be checked for dilation as you get closer? All of these things would impact my decision, as someone who has been through a twin birth. For reference, I went through a 28 hr induction before Alice was born vaginally and Blake was a csection 9 minutes later. Obviously not ideal! But I wanted the vaginal birth so badly that I was willing to try knowing that was a risk.

Going through a twin birth is no joke. If you don't desperately want the VBAC, I would probably opt for the csection. At least it is a known quantity!

I really want a VBAC with my current singleton, but if I were pregnant with twins and didn't feel really strongly about a VBAC I would probably do the c-section. You can always just wait and see if you go I to labor on your own since it may not be an issue and it would give you more time to see how the babies are doing at that time.

http://www.skepticalob.com/2013/03/yet-another-c-section-study-that-purports-to-show-the-risks-but-ends-up-showing-that-arent-particularly-risky.html

The Skeptical OB points out that statistically, the risks of repeat c-sections are on par with VBACs. Given that, I think you should probably just ask yourself what you're most comfortable with--it sounds like a repeat c/s is the route that would cause the least fear and anxiety for you.

@marionberry: It's great that your pregnancy has been going well so far! I think that's a great sign that you'll go full term, which is so awesome for twins! I wasn't under general anesthesia for the csection. I had a failed epidural, so after 4 hours of pushing we headed to the OR (where all twins are delivered at my hospital) to deliver Alice by vacuum. I sound calm about this now but I was a disaster at the time - yelling at everyone that I needed a csection RIGHT NOW PEOPLE. There was a shift change and a new anesthesiologist came on duty and numbed me to high heaven right before we headed to the OR. After Alice was out we were trying an external version on Blake (he was transverse) when we lost his heartbeat. My hospital has a 2 minute rule- if the heartbeat doesn't rebound in 2 minutes you are being cut into. At the point that they lost his heartbeat, the anesthesiologist (my new BFF, Steve) pumped me full of all the drugs. My husband was kicked out of the room because they didn't have time to erect a screen, so I was holding Steve's hand and screaming that I was going to feel everything since I was convinced the epidural was going to give out. Steve promised I wouldn't feel anything for about 24 hrs. And boy was he right. That is something that I wish was different about my delivery because I was sooo drugged up and it of it for hours after. But that was an epidural issue not a twin issue, I guess. My husband had to leave the room but he was let back in very quickly. So quickly that they still didn't have a screen up and when he headed straight to me he got a huge eyeful. For what it's worth, my recovery from both the vaginal and csection deliveries were very easy. If I had to do it over I would because it was so important to me to have a vaginal birth (one of the many reasons we decided to try IVF instead of adoption was because I wanted to go through L&D). Good luck with whatever you decide and remember the actual delivery is a little blip in the whole process. Once they're here the real fun begins!

I delivered my twins at 37 weeks via c-section. I had one scheduled for 38 weeks, but went into labor one week early. Baby A was head down, Baby B was breech. We decided to opt for the c-section because if Baby B didn't flip after A came out, I would have had a double whammy (delivery both ways) and that really freaked me out for potential recovery time. I don't regret my decision. Personally, I would be even more in favor of c-section if I had a toddler at home already. But, I agree with others that it probably comes down most to your mindset, which may change as you get closer to delivery.

I very strongly want a vaginal birth, so I would go for the VBAC if it were me. But, seriously, if it's not something you feel strongly about, I would 100% go for the repeat c-section. I don't think that's something you want to go into if you aren't sure about it. And it is *your* decision, no matter what your OB recommends.