American Society of Reproductive Medicine aka (ASRM) sets the medical guidelines for surrogacy. Currently the guideline says "Ideally a surrogate mother should have no more than "3" C-Sections."

Its widely known in the medical community that 3 C-Sections is DANGEROUS for ANY WOMAN!

Surrogate mothers are women who carry subsequent pregnancies to assist others create or expand their own families. These surrogate mothers carry for individuals or couples who are often suffering from infertility or other health-related issues that prevent them from becoming pregnant independently.

When a surrogate mother (a) becomes pregnant and (b) she has already had previous pregnancies resulting in multiple c-section births, these two factors together can lead to dangerous placental issues which can cause high volume blood loss, resulting in death of either the surrogate mother or unborn child, and sometimes both.

This further devastates a parent who is already emotionally fragile from being unable to have children on their own, and now suffers additional financial devastation due to the extraordinarily high cost of the surrogacy process, which can often cost upwards of $150K from start to finish.

In light of these significant risks, the ASRM guideline for surrogacy should be modified for the safety of the surrogate mother, unborn child and recipient parents. Recipient parents and surrogate mothers should also be educated of the risks prior to proceding forward in the process. 

With so much at stake with a surrogate pregnancy, ASRM should encourage surrogate mothers and recipient parents not to work with surrogate mothers who have had previous pregnancies resulting in subsequent C-Section births because it can lead to significant complications or death in either the surrogate mother or the unborn child she is carrying for someone else. 

Not only is their a risk of physical harm to both the surrogate and unborn baby, there is further significant devastation to the recipient parents not only emotionally if these is a significant complication or death to the surrogate mother or baby, but potential financial ruin as well. Parents will have exhausted hundreds of thousands of dollars and still be left childless, should a negative outcome occur involving either the surrogate mother or baby.