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MediumO&GPostpartum haemorrhageca-mccqe1ca-ccfpca-rcpsc-em

A 29-year-old woman delivers vaginally at a rural hospital. Thirty minutes later she has heavy vaginal bleeding estimated at 1,200 mL, tachycardia and hypotension. The uterus is boggy. What is the most appropriate immediate management?

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