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MediumO&GPostpartum haemorrhageau-amcau-acem

A 32-year-old woman, G2P2, is 2 hours postpartum following an uncomplicated vaginal delivery. She suddenly develops heavy vaginal bleeding with clots. Her uterus feels boggy and enlarged on abdominal examination. Blood pressure is 90/60 mmHg and heart rate 120 beats per minute. What is the most appropriate first-line management?

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