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

A 30 year old woman delivers vaginally after an uncomplicated pregnancy. Ten minutes after birth, she develops heavy vaginal bleeding estimated at 1200 mL, tachycardia and hypotension. The uterus feels boggy on palpation. What is the most appropriate immediate management step?

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