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

A 26-year-old woman, 2 hours postpartum following an uncomplicated vaginal delivery, develops heavy vaginal bleeding with passage of large clots. Her uterus feels boggy and enlarged on abdominal examination. Blood pressure is 90/60 mmHg, pulse 120 beats/min. What is the most likely cause and initial management?

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