I had twins naturally, and the second baby was frank breach. I was given the choice to have an epidural, which increased the possibility of a natural birth for me. If the first baby was born without any problem and the second baby was in trouble (ex: breathing problems, breach etc.), it would have been a C-section automatically to avoid risk to me and the baby. So double the healing. I had to deliver in the OR, in case of any unforeseen problems so that a C-section could be quickly performed if necessary. Thankfully, I had the epidural, and both babies are healthy and strong almost 2 years later. I was given options in a realistic, informed, and honest manner. I wasn't pressured or convinced one option was better, but rather given relevent, up-to-date possibilities and facts. I was allowed to make my own decision.
Had I been in the DR, I would have been given one option: C-section. Canadian doctors in my province do not allow a scheduled C-section prior to 40 weeks unless there is an established, imminent risk to the mother and the baby(ies). This is because current medical research proves that natural birth is the best option when there is no danger beforehand.