Apgar score: Difference between revisions

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==Background==
*Performed at 1 and 5 minutes of life
*Score range = 0 - 10
*Designed to assess newborn's condition at birth<ref name="Montgomery">Montgomery KS. Apgar Scores: Examining the Long-term Significance. The Journal of Perinatal Education. 2000;9(3):5-9. doi:10.1624/105812400X87716.</ref>
**Real-time use only - not a predictive score
==Criteria==
==Criteria==
{| class="wikitable"
{{Apgar table}}
!
 
!Score of 0
== Calculators ==
!Score of 1
{{APGAR_Calculator}}
!Score of 2


|-
==See Also==
|'''A'''ppearance
*[[Emergent delivery]]
|blue or pale all over||blue extremities<BR>body pink<BR>acrocyanosis)||no cyanosis<BR>body and extremities pink
*[[Newborn resuscitation]]
|-
|'''P'''ulse
|absent||<100 beats per minute||>100 beats per minute
|-
| '''G'''rimace
|no response to stimulation
|grimace on suction or aggressive stimulation
|cry on stimulation
|-
| '''A'''ctivity
|none||some flexion|| flexed arms and legs that resist extension
|-
| '''R'''espiration
|absent||weak, irregular, gasping||strong, lusty cry
|}


[[Category:OB]]
==References==
<references/>
[[Category:OBGYN]]

Latest revision as of 15:06, 21 March 2026

Background

  • Performed at 1 and 5 minutes of life
  • Score range = 0 - 10
  • Designed to assess newborn's condition at birth[1]
    • Real-time use only - not a predictive score

Criteria

Apgar score

Score of 0 Score of 1 Score of 2
Appearance blue or pale all over
(central cyanosis)
peripheral cyanosis (acrocyanosis)
body pink
no cyanosis
body and extremities pink
Pulse absent <100 beats per minute ≥100 beats per minute
Grimace no response to stimulation grimace on suction or aggressive stimulation cry on stimulation
Activity none some flexion flexed arms and legs that resist extension
Respiration absent weak, irregular, gasping strong, lusty cry

Score at 1 minute and 5 minutes post delivery.

Calculators

APGAR Score

APGAR Score
Criteria 0 1 2
Appearance (Color) 1 Blue/pale all over Blue extremities, pink body Pink all over
Pulse (Heart Rate) 1 Absent <100 bpm ≥100 bpm
Grimace (Reflex Irritability) 1 No response Grimace/weak cry Cry or pull away
Activity (Muscle Tone) 1 Limp Some flexion Active motion
Respiration 1 Absent Slow/irregular Good cry
APGAR Score / 10
Interpretation
0–3 Critically low — Immediate resuscitation needed.
4–6 Moderately low — May require some resuscitative measures.
7–10 Reassuring — Routine neonatal care.
References
  • Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg. 1953;32(4):260-267.
  • American Academy of Pediatrics Committee on Fetus and Newborn. The Apgar Score. Pediatrics. 2015;136(4):819-822. PMID 26416932.

See Also

References

  1. Montgomery KS. Apgar Scores: Examining the Long-term Significance. The Journal of Perinatal Education. 2000;9(3):5-9. doi:10.1624/105812400X87716.