D3.1.18 (HL)—Placenta role
The placenta exchanges materials between maternal and fetal blood, prevents blood mixing and secretes hormones that help maintain pregnancy in mammals.
- Syllabus
- First assessment 2025
- Objective
- D3.1.18
- Level
- HL
The placenta exchanges materials between maternal and fetal blood, prevents blood mixing and secretes hormones that help maintain pregnancy in mammals.

Coverage 2013–2023 · Updated 16 Jul 2026
The placenta supports foetal development by exchanging materials across placental villi while maternal and foetal blood normally remain separate.
Numerous villi provide a large surface area and a short exchange path. Oxygen, nutrients and maternal antibodies move toward foetal blood; carbon dioxide, urea and other wastes move toward maternal blood; placental hormones help maintain pregnancy.
The placenta allows the foetus to remain and develop inside the uterus to a later stage than in mammals without a placenta, while maternal physiology supplies continuous exchange.
Oxygen diffuses down its concentration gradient from maternal blood across a villus into foetal capillaries, while carbon dioxide moves in the opposite direction.
Large surface area does not mean the two blood supplies mix. The placental barrier is selective but not complete; some drugs and pathogens can cross.
This objective is assessed through structured response, commonly using Explain / Identify.
Explain / Identify
Build the answer around this relationship: Placental villi increase surface area for maternal-fetal exchange.
Representative question
Explain how the structure and functions of the placenta maintain pregnancy.
a. transport facilitated by proximity of mother and embryo blood vessel;
b. chorionic villi increase surface area for exchange;
c. oxygen and food reach embryo;
d. carbon dioxide and waste matter carried from embryo to mother;
e. immune system of mother protects embryo;
f. barrier function as bloods do not mix;
g. endocrine function as it secretes hormones;
h. human chorionic gonadotropin/HCG prevents degeneration of corpus luteum;
i. production of estrogen maintains endometrium;
j. estrogen increases mammary gland growth;
k. progesterone maintains endometrium;
l. progesterone prevents uterine contractions;
HL D3.1 is about ordered mechanisms and evidence judgment: endocrine control, gametogenesis contrast, one-sperm fertilization, early embryo stages, hCG detection, placental exchange, birth feedback, and HRT evaluation.
HL D3.1 moves from reproductive events into control and evidence. The strongest answers keep sequences in order: endocrine axis at puberty, gametogenesis outcomes, fertilization blocks, blastocyst implantation, hCG testing, placental exchange, childbirth feedback, and HRT evaluation.