What is Apgar score?
The Apgar score (scale) is recognized around the world for an assessment of a state of health of the newborn. Apgar — is a surname of the an American anesthesiologist who offered this scale.
Virginia Apgár (born Virginia Apgar;. June 7, 1909 – 7 August 1974) – American anesthetist in obstetrics. The author of the famous Apgar scale.
The assessment of your baby on the Apgar scale will be carried out the first five minutes after the birth, and you will find it in an extract from maternity hospital file. Something like this will be written: “8 points by Apgar at birth”
|Apgar sign||2 points||1 point||0 points|
|Normal color all over (hands and feet are pink)||Normal color (but hands and feet are bluish)||Bluish-gray or pale all over|
|Normal (above 100 beats per minute)||Below 100 beats per minute||Absent|
|Pulls away, sneezes, coughs, or cries with stimulation||Facial movement only (grimace) with stimulation||Absent (no response to stimulation)|
|Active, spontaneous movements||Arms and legs flexed with little movement||No movement, “floppy” tone|
(breathing rate and effort)
|Normal rate and effort, good cry||Slow or irregular breathing, weak cry||Absent (no breathing)|
Read more about the Infant Reflexes: Babkin, Babinsky & Moro Reflexes
Activity reflex excitability — expression of reflexes. The reflex — is an involuntary reaction to external irritants.
“Reaction is poorly expressed” — means reaction to standard medical manipulation: suction of a phlegm by a slime catheter from the nasal courses.
Respiration. Hypoventilation — the superficial and (or) slowed-down breath leading to the shortage of oxygen.
Apparently from the table, five main signs of health (illness) of the newborn are estimated on a three-point system: receive 0, 1 or 2 points. The maximum score is 10.
In some maternity hospitals there is a practice of a double assessment of a condition of the newborn — for example, right after birth (the first minute) and after 5 minutes. At such assessment, record has the following form: “7/8 (or 7–8) by Apgar”.
If the newborn got more than 7 points, he is healthy. The assessment the of 3 points and less testifies of a critical condition of the baby.
At giving birth you may hear the medical stuff announce the Apgar score. Sometimes just the numbers. If you missed the announcement – you may ask the obstetrician or the assistant to repeat the scores for you. Thus, you make sure your baby is fine. I wish your babies to have 10 of 10!