Fetal growth depends upon the optimal maternal health and normal development of the placenta. when there are restrictions or interruption in maternal oxygen capacity and abnormal placenta development it affects fetal growth negatively. it causes interaction in fetal growth, asphyxia, and premature birth. fetal hypoxia occurs when maternal oxygen decreased and interrupted, maternal perfusion of the placenta reduced oxygenated blood from the placement to the fetus interrupted. there will be high lactic acid production and cause a low buffer system and increase metabolic acidosis that causes fetal low pH, fetal distress, and low Apgar score, and there will be low pco2 in pregnancy. any changes in maternal arterial pH and pco2 cause inadequate buffering that impact fetal function and outcome.
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