![]() However, resuscitation must be initiated before the 1-minute score is assigned. The Neonatal Resuscitation Program guidelines state that the Apgar score is “…useful for conveying information about the newborn’s overall status and response to resuscitation. If the infant receives a score less than 7 at the 5-minute interval, then scoring continues at 5-minute intervals thereafter up to 20 minutes. Gasping or weak respiratory effort scores 1, and a vigorous cry indicates good respirations, scoring a 2. Complete absence of respirations is called apnea, and scores 0. R for Respiration – Respiratory effort is a very important Apgar assessment. If the baby is limp, the score is 0, some flexion scores a 1, and active motion scores 2. A normal newborn’s elbows and hips are flexed, with the knees positioned up toward the abdomen. No response to stimulation scores 0, a grimace from aggressive stimulation scores 1, and a cough, sneeze, or vigorous cry receives a score of 2.Ī for Activity (or muscle tone) – The muscle tone is determined by evaluating the degree of flexion and resistance to straightening of the extremities. G for Grimace (or reflex irritability) – Reflex irritability can be evaluated by stroking the soles of an infant’s feet. Pulse less than 100 beats per minute, scores 1, and pulse greater than 100 beats per minute, scores a 2. A heart rate less than 100 beats per minute indicates the need for immediate resuscitation. P for Pulse – The pulse is palpated or auscultated at the junction of the umbilical cord and skin and is a turning point assessment. An infant that is blue or pale all over scores 0, and a completely pink newborn scores a 2. 85% of normal newborns have blue extremities with the rest of the body pink at 1 minute after birth, which is called acrocyanosis and rates a score of 1. The newborn is rated 1 minute after birth and again at 5 minutes on the following criteria:Ī for Appearance – Skin color is inspected for cyanosis and pallor. The newborn is rated on 5 different criteria, each scored from 0 to 2, for a total scoring range from 0 to 10. Virginia Apgar in 1952 to evaluate the physical condition of the newborn at birth and the immediate need for resuscitation. Welcome to this video on newborn Apgar score! The newborn Apgar scoring system was designed by Dr.
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