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MediumO&GPostpartum haemorrhage due to uterine atonyca-mccqe1ca-rcpsc-em

A 29-year-old woman delivers vaginally at a small rural hospital. Ten minutes after delivery of the placenta, she develops heavy vaginal bleeding, with a boggy uterus on palpation. Blood pressure is 98/60 mm Hg and heart rate 110 beats/min. What is the most appropriate immediate management?

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