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MediumObstetricsPrimary postpartum haemorrhageau-amcau-acem

A 26-year-old woman delivers vaginally at term. Thirty minutes later she has heavy vaginal bleeding estimated at 1000 mL, tachycardia 120 beats/min and blood pressure 95/60 mmHg. The uterus feels boggy on abdominal examination. According to Australian postpartum haemorrhage protocols, what is the most appropriate immediate management step?

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