I am faced with the "should I refuse?" dilemma atm too. I have been told that because of my previous two hemorrhages after delivering the placenta that I will need to have a cannula put in my hand during labour in order for them to infuse synto after the birth in order to stop/reduce another PPH. I am ok with that. I would rather that than bleed and bleed and need a blood transfusion. My concern is that because the cannula will be in my hand prior to giving birth that it will be all too easy for them to suggest augmentation of labour. I am not ok with that, because I believe that my previous PPHs may have been due to that fact that i was augmented, and also because this is to be my last pregnancy and I would like to experience a normal labour, and not one that has been artificially started with drugs. I am going to discuss this with my midwife at my next appointment which is on Friday, just to reiterate that while I understand why I need the drug at the end, I do not want to be induced or augmented.