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I think it is the most likely scenario. Sepsis was the cause of death, but the infection leading to sepsis was caused by a failed soap abortion.
The use of dirty instruments, infection to the soft tissue, and damage to the uterus and cervix can all cause septicemia. It can even cause gangrene in the uterine tissue.
Glycerin soap and anything under the kitchen sink were used in this type of abortion...it was one of the cheaper back alley or do-it-yourself options rather than finding a "sympathetic" gynecologist to preform a C&D under the guise of a miscarriage which would be more pricey.
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Was there ever a follow up with her maternal DNA matches? Did the family always reside in the Virginia/North Carolina area? If so, searching year books may help...but seems like a very long, time consuming shot.
I go with you...the failed soap abortion started it all up.....leading to sepsis, blood cloths, maybe a shock...the poor girl.
Yes, many questions about the DNA too here.....