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ModerateO&GPrimary postpartum haemorrhageuk-plab-1

A 29-year-old woman has an uncomplicated vaginal delivery. One hour later she develops heavy vaginal bleeding, estimated 800 mL, with a soft, boggy uterus on palpation. Blood pressure is 100/60 mmHg and pulse 120 bpm. What is the most appropriate immediate first-line management?

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