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ModerateObstetrics & GynaecologyPrimary postpartum haemorrhageuk-plab-1

A 26-year-old woman, 2 days postpartum, develops sudden heavy vaginal bleeding with clots soaking through pads every 10 minutes. She feels dizzy and unwell. BP is 88/56 mmHg and pulse 124 beats/min. What is the most appropriate immediate management?

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