Overuse of pitocin definitely seems to be the first in the long chain of interventions that lead to the "train wrecks" we have all seen. What's the big hurry? In my research of VBAC, I learned that the possibility of uterine rupture is higher with pitocin than with VBAC. VBACs are still actively discouraged by some docs because of the possibility of uterine rupture (i.e. lawsuits) while use of pitocin is often considered the norm unless a Mom refuses it. Marie of WI LLLL & MOM