"In women with twins a trial of labor after a previous cesarean section is a safe and effective alternative to routine repeat cesarean delivery."1
(note for those watching video--TTTT is twin-to-twin transfusion and IUGR is intra-uterine growth restriction)
"A French study... suggested that Caesarean delivery more than triples a woman's risk of dying in childbirth compared with a vaginal birth."
"When a cesarean is necessary, it can be a lifesaving technique for both mother and baby, and worth the risks involved. With half the cesareans being performed deemed unnecessary by WHO, the risks these mothers and babies are exposed to are avoidable and costly."
"An analysis in Great Britain revealed that women were 5.5 times more likely to die of an elective cesarean, than a vaginal birth (9 versus 2 per 100,000). A Dutch study found that [ceareans] caused seven times more deaths than vaginal births (28 versus 4 per 100,000)."
"Vaginal delivery when a first twin is vertex and a second is nonvertex (breech) is a safe alternative to cesarean section, according to a study presented at the HGO World Congress of Gynecology and Obstetrics."2
"In selected cases vaginal delivery of triplet gestations can be accomplished without increased maternal or neonatal morbidity and mortality and may significantly decrease maternal hospital stay and postoperative morbidity. (Am J Obstet Gynecol 1998;179:1133-5.)"3
Please remember that I had a cesarean myself and that I do not post this in ignorance to the procedure nor without compassion to those who have undergone it. This is merely informational to present that [attempted] vaginal birth is a viable and safe option for twins and some triplets, even if they are a VBAC. I am not a doctor and this does not substitute for medical advice.