Women with a high BMI can still have a normal vaginal delivery, but there are certain factors to consider. It is important for them to maintain a healthy lifestyle, manage their weight gain during pregnancy, and attend regular prenatal check-ups. They may be at an increased risk of certain complications such as gestational diabetes, preeclampsia, and cesarean section. However, with proper care and monitoring, many women with a high BMI can have successful pregnancies and deliveries. It is crucial for them to work closely with their healthcare provider to ensure the best possible outcome for both mother and baby.