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Apgar Score Calculator
Assess newborn health at 1, 5, and 10 minutes after birth using the standardized Apgar scoring system.
Assessment Time
Appearance•Pulse•Grimace•Activity•Respiration
A
Appearance
Skin color
P
Pulse
Heart rate
G
Grimace
Reflex irritability
A
Activity
Muscle tone
R
Respiration
Breathing effort
Score Interpretation
7-10: NormalBaby is in good condition
4-6: Moderately DepressedMay require some resuscitation
0-3: Severely DepressedRequires immediate resuscitation
Clinical Notes
- The 5-minute Apgar score is more predictive of outcome than the 1-minute score
- A 10-minute score is recorded if the 5-minute score is less than 7
- The Apgar score should not be used to determine need for resuscitation
- Resuscitation should begin before the 1-minute assessment if needed
About the Apgar Score
History
The Apgar score was developed in 1952 by Virginia Apgar, an American obstetrical anesthesiologist. It provides a standardized method to evaluate the physical condition of newborns shortly after birth.
When to Assess
The Apgar score is routinely assessed at 1 minute and 5 minutes after birth. If the 5-minute score is less than 7, additional assessments are performed every 5 minutes for up to 20 minutes.
Limitations
- Subjective assessment that can vary between observers
- May be affected by gestational age, maternal medications, or congenital abnormalities
- Not designed to predict long-term neurological outcome
- Should not delay resuscitation efforts when needed
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