Once in a while, a baby with a low score at 5 minutes may get tested again at the minute mark. If your baby gets a low Apgar score, she may need oxygen or to have her airway cleared out, or she may need some physical stimulation to get her heart rate up. The Apgar test was created in by anesthesiologist Virginia Apgar, M. In the past, it was used to predict whether a baby would survive or have neurological problems, and doctors used it to diagnose asphyxia during birth.
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Use of this site is subject to our terms of use and privacy policy. Registry Builder New. Your Baby's Apgar Score. Medically Reviewed by Kyle Monk, M. Medical Review Policy All What to Expect content that addresses health or safety is medically reviewed by a team of vetted health professionals. A score of 10 is very unusual, since almost all newborns lose 1 point for blue hands and feet, which is normal for after birth.
Any score lower than 7 is a sign that the baby needs medical attention. The lower the score, the more help the baby needs to adjust outside the mother's womb. A lower Apgar score does not mean a child will have serious or long-term health problems. The Apgar score is not designed to predict the future health of the child. Arulkumaran S. Fetal surveillance in labor. Munro Kerr's Operative Obstetrics. Philadelphia, PA: Elsevier; chap 9. Goyal NK.
The newborn infant. In: Kliegman RM, St. Nelson Textbook of Pediatrics. Philadelphia, PA: Elsevier; chap Updated by: Neil K. Editorial team. Apgar score. This test helps health care providers tell a newborn's overall physical condition so they can quickly decide if a baby needs medical care right away. It isn't meant to predict a baby's long-term health, behavior, intelligence, personality, or outcome.
With time to adjust to their new environment and with any needed medical care, most babies do very well. Reviewed by: Mary L. Gavin, MD. Larger text size Large text size Regular text size. What Is the Apgar Score? What Does It Check? Each is scored on a scale of 0 to 2, with 2 being the best score: A ppearance skin color P ulse heart rate G rimace response reflexes A ctivity muscle tone R espiration breathing rate and effort Doctors, midwives, or nurses add up these five factors for the Apgar score.
Apgar Sign 2 1 0 Appearance skin color Normal color all over hands and feet are pink Normal color but hands and feet are bluish Bluish-gray or pale all over Pulse heart rate Normal above beats per minute Below beats per minute Absent no pulse Grimace "reflex irritability" Pulls away, sneezes, coughs, or cries with stimulation Facial movement only grimace with stimulation Absent no response to stimulation Activity muscle tone Active, spontaneous movement Arms and legs flexed with little movement No movement, "floppy" tone Respiration breathing rate and effort Normal rate and effort, good cry Slow or irregular breathing, weak cry Absent no breathing.
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