Practice question

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MediumObstetrics & GynaecologyPostpartum haemorrhageca-mccqe1ca-ccfpca-rcpsc-em

A 30-year-old woman presents 12 hours after a normal vaginal delivery with heavy vaginal bleeding, tachycardia and a soft, enlarged uterus. According to SOGC postpartum haemorrhage guidance, what is the most appropriate first-line pharmacologic uterotonic therapy after initial uterine massage and intravenous access?

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