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HardO&GPostpartum haemorrhageca-mccqe1ca-rcpsc-em

A 29-year-old woman delivers vaginally at term. Thirty minutes after delivery, she has heavy vaginal bleeding with estimated blood loss of 1200 mL, tachycardia and hypotension. The uterus is boggy on palpation. According to SOGC postpartum haemorrhage guidance, what is the most appropriate immediate management step?

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