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MediumObstetricsPostpartum haemorrhage due to uterine atonyca-mccqe1ca-ccfpca-rcpsc-em

A 28-year-old woman has an uncomplicated vaginal delivery. Thirty minutes later she develops heavy vaginal bleeding estimated at 1200 mL, tachycardia 120/min, and blood pressure 90/60 mm Hg. The uterus is boggy on palpation. What is the most appropriate immediate first-line uterotonic therapy?

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