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)