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MediumO&GPrimary postpartum haemorrhageau-amcau-acem

A 28-year-old G1P0 woman at 39 weeks' gestation is in labour in a regional hospital. Following a normal vaginal delivery, she has ongoing brisk vaginal bleeding. The obstetric registrar estimates blood loss of 900 mL in 30 minutes. Her uterus feels boggy. Which immediate intervention is the most appropriate first-line step in management of her postpartum haemorrhage?

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