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

A 29-year-old woman delivers vaginally and has ongoing heavy bleeding 30 minutes later. Estimated blood loss is 1200 mL, pulse 120 beats/min, BP 90/55 mm Hg. Uterus is boggy. What is the most appropriate first-line pharmacologic treatment?

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