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There are two options - either the cervix was not completely closed (which would make sense if the mother was close to delivery) or the bacteria entered the blood stream and accessed the uterus via the uterine artery.

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Pseudomonas aeruginosa typically gains access to the uterus through ascending infection from the lower genital tract or during invasive medical procedures. In the uterus, this bacterium can cause inflammation, damage the tissues, and release toxins that may lead to complications such as stillbirth. Factors like a weakened immune system or preexisting reproductive tract infections can also increase the risk of Pseudomonas aeruginosa infection and its associated complications in pregnant individuals.

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Q: How does Pseudomonas aeruginosa get into the uterus and cause stillbirth?
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A bacteria frequently found in soil water sewage debris and air?

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