Some searching has unearthed a reference in the WHO's "Better Birthing Initiatve" Package, which does indeed recommend the routine use of syntocinon for all women, with the justification that it is a safe way of reducing the risk of PPH. While syntocinon itself is not harmful, it does necessitate the early clamping of the cord which some (myself included) believe is detrimental to the baby.

Unfortuately, I do not have access to the WHO Reproductive Health Library, and the Better Birthing Initiatve made its recommendation regarding syntocionon based on an article in this library from 2001. However, it is important to remember that much of the work of the WHO targets less developed countries who often have poor access to medical facilities and poorly-trained medical and health practitioners. In these circumstances, I guess that the routine use of syntocinon is a safe way of reducing the risk of a PPH. Of course, we are not in those circumstances (unless you count the poorly trained health professional bit...). We are well-nourished, well-educated, have medical facilities readily available, and if we choose an independently practicing midwife or are attending a birth centre whose model of care allows for some kind of continuity of care, then we have a trusted health professional with us. Additionally, if we are well educated, healthy, and pursue an active labour, our risk of intervention is reduced. All of these things reduce the likelihood of a PPH.

You have my permission to tell the midwife that at the next appointment, if you are there, Trish...

And for a vent about the sad state of antenatal education and how midwives who actually try and empower women are treated, head over to the Boohoo forum...