I'm sorry, on the fence, but we'll have to agree to disagree on that one.
I am a nurse in a birth center and women's health clinic. We receive (and I read them, most of the time
: ) 3 to 5 medical journals a month pretaining to obstetrics and gynecology.
The American College of Obstetricians and Gynecologists feel that a woman who has had a previous c-section is at risk for uterine rupture during labor, and it is too dangerous for her to labor in a facility that cannot do a c-section in less than 15 minutes. This is their official stand. For many small hospitals, that means an automatic c-section, as they do not have round the clock, in house anesthesia. Many large hospitals (including many in my area) are following suit, and not allowing VBACs. Only repeat c-sections. A c-section is major abdominal surgery, a high risk event for you and the baby, and I don't know of a midwife who performs c-sections. While a midwife *may* be able to provide you with prenatal care, she will not be involved in your c-section, unless the hospital let's her assist.
For women who are able to attempt a VBAC, the ACOG feels that that is a dangerous enough of a situation that these women must have constant fetal monitoring, and should only labor in a facility that is able to perform a section in less than 15 minutes. Many of these women are once again not able to be attended by midwives. If they are, most hospitals require that the covering physician be within 15 minutes of the hospital, preferrably within the hospital itself. Some hospitals also require that a woman who is attempting a VBAC have an epidural catheter in place (they don't have to have the medication going, just set up to run) so that a crash section can be performed.
Article after article in these journals discusses the risks of c-section, and the risks during subsequent pregnancies. You may not be considered high risk during your pregnancy (although most OBs would consider you at least at higher risk than moms with no previous uterine surgeries), but you are definately considered high risk durin labor, according to the American College of Obstetricians and Gynecologists.
That is the angle I am coming from, anyway, in labelling a mom with a previous c-section high risk. *I* don't necessarily think that you are, though a mom with a previous uterine surgery definately has a higher risk for certian complications. But, the american medical establishment does indeed consider you high risk.