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Apgar Score - Symptom, Causes, Treatment of Apgar Score

Apgar score is a applicative system for assessing a immature infant. The baby's gloss, heart rate, breathing, reflex responses and muscle tone are evaluated at particularly 1 and 5 minutes later on delivery and each is afford a score between 0 and 2, making a practicable score of 10. Apgar scores are not really predictive of difficulty.

Apgar score at twenty minutes afterwards delivery is fewer than five, there is still only a 20% casual of a handicapping stipulate. The lower the score, the more difficult the baby's condition and the more imperative the demand for resuscitatian, or appropriate medical facilitate. The Apgar score is perform consistently 60 seconds after the birth of the infant and then it is usually reproduced 5 minutes later birth.

Five factors are utilised to assess the baby's condition and all factor is scored on a scale of 0 to 2:

  • heart rate (pulse)
  • breathing (rate and effort)
  • activity and muscle tone
  • grimace response (medically called as "reflex irritability")
  • appearance (skin coloration)

Apgar Score Sign and Symptoms

Here is the list of some of the general sign and symptoms of apgar score disease in baby. If your baby's Apgar scores are middle 5 and 7 at one minute, she may have feel several difficulty during birth that decrease the oxygen in her blood. In this case, the staff will believably dry her vigorously with a towel while oxygen is held below her nose. This should start her breathing profoundly and ameliorate her oxygen supply so that her five-minute Apgar scores total between 8 and 10.

Apgar Sign & Symptoms
Heart Rate
Normal (above 100 beats per minute) Below 100 beats per minute Absent
(no pulse)
(rate and effort)
Normal rate and effort Slow or irregular breathing Absent (no breathing)
Grimace (Responsiveness or "reflex irritability") Pulls away, sneezes, or coughs with stimulation Facial movement only (grimace) with stimulation Absent (no response to stimulation)
(muscle tone)
Active, spontaneous movement Arms and legs flexed with little movement No movement, "floppy" tone
(skin coloration)
Normal color all over (hands and feet are pink) Normal color (but hands and feet are bluish) Bluish-gray or pale all over


How the test is performed

Five categories are evaluated:

  • Heart rate
  • Respiratory effort
  • Muscle tone
  • Reflex irritability
  • Color

Each one of these categories is scored with 0, 1 or 2, looking on the observed condition of the newborn.

  • Heart rate is measured by stethoscope. This is the most essential assessment:
    If there is no heartbeat, the infant scores 0 for heart rate.
    If heart rate is less than 100 beats per minute, the infant scores 1 for heart rate.
    If heart rate is greater than 100 beats per minute, the infant scores 2 for heart rate.
  • Respiratory effort:
    If there are no respirations, the infant scores 0 for respiratory effort.
    If the respirations are slow or irregular, the infant scores 1 for respiratory effort.
    If there is nice crying, the infant scores 2 for respiratory effort.
  • Muscle tone:
    If the muscle tone is flaccid, the infant scores 0 for muscle tone.
    If there is several flexion of the extremities, the infant scores 1 for muscle tone.
    If there is active motion, the infant scores 2 for muscle tone.
  • Reflex irritability is a term describing the level of newborn irritation in response to stimuli (such as a mild pinch):
    If there is no response, the infant scores 0 for reflex irritability.
    If there is grimacing, the infant scores 1 for reflex irritability.
    If there is grimacing and a cough, sneeze or a vigorous cry, the infant scores 2 for reflex irritability.
  • Color:
    If the color is pale blue, the infant scores 0 for color.
    If the body is pink and the extremities are blue, the infant scores 1 for color.
    If the entire body is pink, the infant scores 2 for color.

What does a high or low Apgar score mean?

A better Apgar score of 10 means an infant is in the best executable condition. An infant with an Apgar score of 0-3 requires proximate resuscitation. Lower Apgar scores are also looks in healthy premature babies, who normally have less muscle tone than full-term newborns and who, in many cases, will require excess monitoring and breathing assistance because of their immature lungs. Any score decrease than 8 suggest your child requires assistance stabilizing. A reduced score at 1 minute which normalizes by 5 minutes has not been related with any long-term negative consequence.


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Antepartum Haemorrhage
Apgar Score
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Goodpastures Syndrome
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