What organ gets oxygen and nutrients for the fetus and gets rid of waste?

The umbilical cord carries oxygen and nutrients to the baby from the mom by way of the placenta. The umbilical cord also carries waste products from the baby to the placenta and then to mom to get rid of though her lungs and kidneys.

The umbilical cord has three blood vessels inside it. The largest vessel is a vein which carries oxygenated blood and nutrients TO the baby from the placenta which is attached to the wall of mom’s uterus. The other two vessels are smaller. These vessels are arteries that carry carbon dioxide and metabolic waste FROM the baby to the mom. These waste products are then excreted by mom mostly through her lungs and kidneys.

Checking Cord Gases

Umbilical cord gases are drawn by a healthcare provider from the umbilical cord after the baby is born. Two samples are taken—one from the artery and one from the vein.

The umbilical artery sample of blood reports on the status of the baby close to the time of birth. The venous sample reports on the placental function and mom’s status close to the time of birth.

The blood samples report the acid-base balance. The acid-base balance is important for cells in the body to function properly. Slight deviations can be tolerated for short periods of time but chronic imbalances can lead to problems in essential body functions.

If the exchange of oxygen and carbon dioxide is impaired, acid will build up and the baby will become acidotic. If a baby has had an event in which the baby did not get enough oxygen, either acutely or chronically, the umbilical artery blood sample may show a build up of acid which is noted as acidosis if the acid buildup is in the tissues of the body or acidemic.

pH is a scale that is used to determine acidity. A cord pH less than 7.1 is considered acidemic and may be evidence that your baby was not well oxygenated at or near birth. 7.1- 14 is alkaline, which is also known as base. The human body is slightly base with a pH between 7.35-7.45.

Checking the umbilical artery blood is especially helpful if there is reason to believe that there was an acute or chronic loss of oxygen to the baby. Acidemia may be present in the results if the loss of oxygen caused an anoxic (no oxygen) or hypoxic (not enough oxygen) event. Anoxia or hypoxia can cause hypoxic ischemic encephalopathy (brain damage due to lack of oxygen and limited blood flow) leading to cerebral palsy (disorder that affects body movement and posture).

If you believe your baby may have suffered from lack of oxygen during the labor and delivery process, call the Bereston Law Offices for a free consultation.

Categories:

Placenta: How it works, what's normal

The placenta plays a crucial role during pregnancy. Find out what it does, issues that might affect the placenta and how the placenta is delivered.

By Mayo Clinic Staff

If you're pregnant, you might wonder what the placenta does and what factors can affect it. Get the facts about this important organ that joins the mother and baby.

What does the placenta do?

The placenta is an organ that develops in the uterus during pregnancy. This structure provides oxygen and nutrients to a growing baby. It also removes waste products from the baby's blood. The placenta attaches to the wall of the uterus, and the baby's umbilical cord arises from it. The organ is usually attached to the top, side, front or back of the uterus. In rare cases, the placenta might attach in the lower area of the uterus. When this happens, it's called a low-lying placenta (placenta previa).

What affects the health of the placenta?

Various factors can affect the health of the placenta during pregnancy. For example:

  • Maternal age. Some problems with the placenta are more common in older people, especially after age 40.
  • A break in your water before labor. During pregnancy, the baby is surrounded and cushioned by a fluid-filled membrane called the amniotic sac. If the sac leaks or breaks before labor begins, also called water breaking, the risk of certain problems with the placenta increases.
  • High blood pressure. High blood pressure can affect the placenta.
  • Twin or other multiple pregnancy. Being pregnant with more than one baby, might increase the risk of certain problems with the placenta.
  • Blood-clotting disorders. Any condition that either impairs the blood's ability to clot or increases its likelihood of clotting increases the risk of certain placental problems.
  • Previous uterine surgery. Previous surgery on the uterus, such as a C-section or surgery to remove fibroids, increases the risk of certain problems with the placenta.
  • Previous placental problems. The risk of having problems with the placenta might be higher if placental problems occurred during a previous pregnancy.
  • Substance use. Certain placental problems are more common in women who smoke or use cocaine during pregnancy.
  • Abdominal trauma. Trauma to your abdomen — such as from a fall, auto accident or other type of blow — increases the risk of the placenta prematurely separating from the uterus (placenta abruption).

What are the most common placental problems?

During pregnancy, possible placental problems include placental abruption, placenta previa and placenta accreta. After delivery, retained placenta is sometimes a concern. Here's what you need to know about these conditions:

  • Placental abruption. If the placenta peels away from the inner wall of the uterus before delivery — either partially or completely — a condition known as placental abruption develops. This can deprive the baby of oxygen and nutrients and cause you to bleed heavily. Placenta abruption could result in an emergency situation requiring early delivery.
  • Placenta previa. This condition occurs when the placenta partially or totally covers the cervix — the outlet for the uterus. Placenta previa is more common early in pregnancy and might resolve as the uterus grows.

    Placenta previa can cause severe vaginal bleeding during pregnancy or delivery. The management of this condition depends on the amount of bleeding, whether the bleeding stops, how far along your pregnancy is, the position of the placenta, and your and your baby's health. If placenta previa persists late in the third trimester, your health care provider will recommend a C-section.

  • Placenta accreta. Typically, the placenta detaches from the uterine wall after childbirth. With placenta accreta, part or all of the placenta remains firmly attached to the uterus. This condition occurs when the blood vessels and other parts of the placenta grow too deeply into the uterine wall. This can cause severe blood loss during delivery.

    In aggressive cases, the placenta invades the muscles of the uterus or grows through the uterine wall. Your health care provider will likely recommend a C-section followed by removal of your uterus.

  • Retained placenta. If the placenta isn't delivered within 30 minutes after childbirth, it's known as a retained placenta. A retained placenta might occur because the placenta becomes trapped behind a partially closed cervix or because the placenta is still attached to the uterine wall. Left untreated, a retained placenta can cause severe infection or life-threatening blood loss.

What are signs or symptoms of placental problems?

Consult your health care provider during pregnancy if you have:

  • Vaginal bleeding
  • Abdominal pain
  • Back pain
  • Uterine contractions

What can I do to reduce my risk of placental problems?

Most placental problems can't be directly prevented. However, you can take steps to promote a healthy pregnancy:

  • Visit your health care provider regularly throughout your pregnancy.
  • Work with your health care provider to manage any health conditions, such as high blood pressure.
  • Don't smoke or use drugs.
  • Talk with your doctor about the potential risks before deciding to pursue an elective C-section.

If you've had a placental problem during a previous pregnancy and are planning another pregnancy, talk to your health care provider about ways to reduce the risk of experiencing the condition again. Also tell your health care provider if you've had surgery on your uterus in the past. Expect your health care provider to monitor your condition closely throughout the pregnancy.

How is the placenta delivered?

If you deliver your baby vaginally, you'll also deliver the placenta vaginally — during what's known as the third stage of labor.

After you give birth, you'll continue to have mild contractions. Your health care provider might give you a medication called oxytocin (Pitocin) to continue uterine contractions and reduce postpartum bleeding. Your health care provider might also massage your lower abdomen to encourage your uterus to contract and expel the placenta. You might be asked to push one more time to deliver the placenta.

If you have a C-section, your health care provider will remove the placenta from your uterus during the procedure.

Your health care provider will examine the placenta to make sure it's intact. Any remaining fragments must be removed from the uterus to prevent bleeding and infection. If you're interested, ask to see the placenta. In some cultures, families bury the placenta in a special place, such as their backyards.

If you have questions about the placenta or placental problems during pregnancy, talk to your health care provider. He or she can help you better understand the placenta's role during your pregnancy.

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April 13, 2022

  1. Roberts V, et al. Placental development and physiology. https://www.uptodate.com/contents/search. Accessed Feb. 6, 2020.
  2. Lockwood CJ, et al. Placenta previa: Epidemiology, clinical features, diagnosis, morbidity and mortality. https://www.uptodate.com/contents/search. Accessed Feb. 6, 2020.
  3. Hart Hayes E. Placentophagy, lotus birth and other placenta practices: What does the evidence tell us? The Journal of Perinatal and Neonatal Nursing. 2019; doi:10.1097/JPN.0000000000000402.
  4. Cunningham FG, et al., eds. Obstetrical hemorrhage. In: Williams Obstetrics. 25th ed. McGraw-Hill Education; 2018. https://accessmedicine.mhmedical.com. Accessed Feb. 6, 2020.
  5. Resnik R, et al., eds. Placenta previa and accreta, vasa previa, subchorionic hemorrhage and abruptio placentae. In: Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice. 8th ed. Elsevier; 2019. https://www.clinicalkey.com. Accessed June 6, 2020.
  6. Wick MJ, ed. Managing mom's health concerns. In: Mayo Clinic Guide to a Healthy Pregnancy. 2nd ed. Mayo Clinic; 2018.
  7. Moore KL, et al. Placenta and fetal membranes. In: The Developing Human: Clinically Oriented Embryology. 11th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Feb. 6, 2020.
  8. Martin RJ, et al., eds. Placental pathology. In: Fanaroff and Martin's Neonatal-Perinatal Medicine: Disease of the Fetus and Infant. 11th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Feb. 6, 2020.
  9. Weeks A. Retained placenta after vaginal birth and length of the third stage of labor. https://www.uptodate.com/contents/search. Accessed Feb. 7, 2020.
  10. Landon MB, et al., eds. Placenta accreta spectrum. In: Gabbe's Obstetrics: Normal and Problem Pregnancies. 8th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed March 6, 2020.
  11. Frequently asked questions: Pregnancy FAQ038: Bleeding during pregnancy. American College of Obstetricians and Gynecologists. https://www.acog.org/Patients/FAQs/Bleeding-During-Pregnancy. Accessed Feb. 6, 2020.
  12. Arachchillage DRJ, et al. Inherited thrombophilia and pregnancy complications: Should we test? Seminars in Thrombosis and Hemostasis. 2019; doi:10.1055/s-0038-1657782.

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  1. Air travel during pregnancy
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  3. Ankle swelling during pregnancy
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  6. Baby brain
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  8. Falling during pregnancy: Reason to worry?
  9. Flu and pregnancy
  10. Flu shot in pregnancy
  11. Headaches during pregnancy: What's the best treatment?
  12. Iron deficiency anemia during pregnancy: Prevention tips
  13. Kratom and pregnancy: Not a safe mix
  14. Leg cramps during pregnancy
  15. Marijuana during pregnancy: What's the harm?
  16. Pregnancy acne
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  18. Pregnancy and fish
  19. Pregnancy and hot tubs
  20. Pregnancy basics
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  22. Pregnancy diet: Essential nutrients
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  26. Pregnant. Now What Happens?
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  29. Prenatal vitamins and pregnancy
  30. Prenatal yoga
  31. Sex during pregnancy
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  34. Fetal ultrasound
  35. Twin pregnancy
  36. Vaccines during pregnancy
  37. Vaping during pregnancy
  38. Fetal ultrasound
  39. Working during pregnancy
  40. X-ray during pregnancy

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What organ supplies oxygen and nutrients to fetus?

The fetus is connected by the umbilical cord to the placenta, the organ that develops and implants in the mother's uterus during pregnancy. Through the blood vessels in the umbilical cord, the fetus receives all the necessary nutrition, oxygen, and life support from the mother through the placenta.

Which is the organ that provides food and oxygen to the fetus and also removes waste from the uterus?

The placenta is an organ that develops in the uterus during pregnancy. This structure provides oxygen and nutrients to a growing baby. It also removes waste products from the baby's blood. The placenta attaches to the wall of the uterus, and the baby's umbilical cord arises from it.

What organ is responsible for nutrient and waste exchange in a developing fetus?

The placenta is a large organ that develops during pregnancy. It is attached to the wall of the uterus, usually at the top or side. The umbilical cord connects the placenta to your baby. Blood from the mother passes through the placenta, filtering oxygen, glucose and other nutrients to your baby via the umbilical cord.

What exchanges nutrients and waste between the mother and fetus during pregnancy?

The placenta allows nutrients and wastes to be exchanged between the mother and fetus. The fetus is connected to the placenta through the umbilical cord.