The Apgar Score with printable sheet

Developed during the 1950’s by Dr. Virginia Apgar to predict survival of the neonate. In which, transition to extrauterine life and the need for resuscitation is evaluated .

For Apgar Score Sheet Print Here: The Apgar Score

The Apgar score evaluates:

– Color
– Neonatal heart rate
– Reflex irritability
– Tone
– Respiratory effort

Assigned at 1 and 5 minutes of age

Few newborns score a perfect 10 around 5 minutes of age
– Most newborns are not fully pink at 1 minute of age.
Apgar score between 7 to 10 at both 1 minute and 5 minutes of age is expected in a healthy term newborn.
– A low Apgar score at 1 minute or 5 minute of age is not predictive of future neurological damage.
– A high Apgar score at 1 minute or 5 minute of age cannot always predict a healthy newborn.

Significance of scoring

  • Apgar score at 1 minute of age is used to determine level of resuscitation required.
  • Apgar score at 5 minute of age has a relationship to neonatal morbidity and mortality
  • Apgar score of less than 7 at 5 minutes: needs pediatrician
  • Apgar score of less than 4 at 5 minutes: neonatal mortality

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