Apgar Score - Symptom, Causes, Treatment of Apgar Score
Apgar score is a
for assessing a
infant. The baby's
gloss, heart rate, breathing, reflex responses and muscle tone are
1 and 5 minutes
on delivery and each is
a score between 0 and 2, making a
score of 10.
Apgar scores are not
Apgar score at twenty minutes
than five, there is still only a 20%
of a handicapping
The lower the score, the more
the baby's condition and the more
for resuscitatian, or appropriate medical
The Apgar score is
perform consistently 60 seconds after the birth of the infant and then it is
5 minutes later birth.
Five factors are
utilised to assess the baby's condition and
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
sign and symptoms of apgar score disease in baby.
If your baby's Apgar scores are
5 and 7 at one minute, she may have
during birth that
the oxygen in her blood. In this case, the staff will
dry her vigorously with a towel while oxygen is held
her nose. This should start her breathing
her oxygen supply so that her five-minute Apgar scores total between 8 and 10.
|Apgar Sign & Symptoms
|Normal (above 100 beats per minute)
||Below 100 beats per minute
(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)
|Active, spontaneous movement
||Arms and legs flexed with little movement
||No movement, "floppy" tone
|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
- Heart rate
- Respiratory effort
- Muscle tone
- Reflex irritability
Each one of these categories is scored with 0, 1 or 2,
on the observed condition of the newborn.
- Heart rate is
by stethoscope. This is the most
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
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.
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?
Apgar score of 10 means an infant is in the best
condition. An infant with an Apgar score of 0-3
resuscitation. Lower Apgar scores are also looks in healthy premature babies, who
have less muscle tone than full-term newborns and who, in many cases, will require
monitoring and breathing assistance because of their immature lungs.
suggest your child
assistance stabilizing. A
score at 1 minute which normalizes by 5 minutes has not been
with any long-term negative