The only alternative to a cesarean section is a vaginal delivery, which can be done with the help of either forceps or vacuum, if necessary. With your condition, there are risks no matter how your baby is delivered. Let's discuss the risks of having a vaginal delivery.
While some women who are pregnant with twins can have a vaginal delivery, the risk of complications is higher for all multiple births than for a single baby. For delivery of twins, the birthing method depends on things such as the size, position and health of the babies, as well as the health of the mother. For example, if both babies are breech, cesarean delivery is considered safer. But if one or both babies are head down, a vaginal delivery may be possible. The complications that can be associated with a multiple pregnancy include high blood pressure, a preterm birth, abnormal presentation, umbilical cord prolapse, failure to progress through labor, and postpartum hemorrhage.
So the decision to have or not have a c-section rests with you, but it is very important for you to discuss your risks and your situation with your doctor when making this decision.