OH has no laws limiting non-nurse midwifery. So we are free to use our own descretion whether or not to attend twins, breeches, VBACs etc. A few yrs ago, I even attended the birth of breech twins! The 1st was a frank breech & the 2nd was transverse, but after waiting a few hrs for him to change position, he finally came out heels 1st. Some midwives do attend these kinds of births, some don't. I am sure there are indepent thinking midwives that would agree to do any of the above, regardless of legalities in all 50 states. You just might have to look harder in some staes than others.