Planned for a hospital vaginal birth (under OB care with an in-house midwife), both boys were head down at 26 weeks; last appointment before induction, both were still head down. Morning of my induction, one last ultrasound was ordered to check positioning, and baby B had flipped and was now breech, and my BP was high (for the first time in my entire pregnancy, but no other signs of pre eclampsia). Several options were presented, but I chose to go forward with induction since there was no true risk to the babies.
I had plans to labor as long as possible with no drugs and was using breathing techniques learned through our birth class and some brief Hypnobirthing reading I had done. Decided on an epidural about 8 hours in to rule out the chance of needing GA if I needed an emergency C section. After 12+ hours of labor, 10 minutes of pushing delivered the boys, both vaginally, in the OR (most twin hospital births happen in the OR) 6 minutes apart; baby B flipped to head down in the labor process, no help needed.