The short answer is: it depends who you ask!
The long answer is that traditional western medicine has relatively strict markers that would automatically label someone as high risk.
These markers could be:
- Above 35 years of age
- Gestational diabetes
- Gestational hypertension
- A family member with a genetic disease
And the list goes on.
Midwives, on the other hand, routinely provide care to women well into their forties, who have healthy pregnancies. If however, someone is under the care of a midwife, and there are complications in pregnancy that are detected in lab work, then a midwife will refer their client to an OBGYN and a hospital setting might be more suitable.
The bottom line is to find a provider whom you trust and to ultimately follow their lead on your care.