A low risk primigravida underwent vaginal delivery with episiotomy. 2 hours after delivery patient appears pale, PR 110/min BP is 90/60 but there is no apparent PPH. PV examination shows a bulge over episiotomy stitch line. Hb shows a drop in Hb from 9 gm% to 7 gm%. Management is?
Blood and fluid transfusion with IV antibiotics Blood transfusion and cold compression of episiotomy Immediate exploration of episiotomy and blood transfusion Cervical exploration with uterotonics with blood transfusion