I think that you are not considered a grand multip (ie someone who is high risk because of the number of times they have given birth) until you have had 5 children. However with each CS your risks tend to raise so I imagine they would be keeping quite a close eye on you to make sure that your scar and placenta are doing what they are supposed to. I would imagine they would prefer you to receive your care at the larger hospital as a result of this, but the best person to ask is your midwife or OB who can let you know local policies.
As far as I know, once you get to that magical 4th c.s then you are classed as higher risk as the risk increases each time of complications after the birth. I know the small district hospital where I went will not take women having their 4th c/s - you have to go to the larger Base hospital for that in case you need further surgery afterwards.
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