Apgar Score Definition
- The test Apgar score is done, quick assessment of the newborn’s overall well being
- A test developed in 1952 by dr. Virginia Apgar
- Apgar score is the 1st test of the newborn soon after birth.
- Apgar score checks the heart rate, respiratory rate muscle tone, and reflexes.
- Apgar score test was usually done twice: once at 1 minute after birth and again at 5 minutes after the birth.
- Assess each of the five items to be Seconds and give a value of zero for very poor and 2 mark for excellent finding.
- 5 parameters determine the newborn condition.
Apgar score in sequence – learning tricks.
- Prarasa, Rajkumar sa, Munna, ghar, aaya
(Pyara sa rajkumar sa munna ghr aaya)
- P- Pulse rate
- R- Respiratory Rate
- M- Muscles tone (Activity)
- G- Grimace (Reflex)
- A- Appearance (Skin color)
Apgar score Chart:-
| Parameter | Zero 0 | one (1) | Two (2) |
| Pulse Rate | Absent | Less than 100 beats/min | More than 100 beats/min |
| Respiration | Absent | Slow,irregular, weak,cry | Good cry |
| Muscle Tone | Flaccid, limp | Minimum flexion of extremities | Good Flexion |
| Grimace | No Response | The minimum response to suction | Promptly respond |
| Appearance | Pallor or cyanosis | Trunk pink but the extremities blue of baby | The pink whole body of a baby |
Result- 10 out of 10 is a perfect score (indicates the well-being of the child).
A score over 7 indicates the good condition of the baby.
0-3 score = Newborn require resuscitation
4-7 score = gently stimulate, rub the infant back, administration Oxygen to Newborn
8-10 score = no intervention required except general support to the infant
Key Points of APGAR Score
- Apgar assessment of newborns is introduced by – Dr.Virginia Apgar
- 2nd time Apgar score assessment is done at the – at 5 min after birth
- Which score of Apgar score needs an emergency case – 0-3 score?
- Which parameter of Apgar score is second last – Reflex (Grimace)
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