![]() If an infant undergoes resuscitation, the Apgar score given during resuscitation will not be the same as that given to a baby breathing on their own (1). Sometimes, however, resuscitation will need to be done before an Apgar score is taken. Assisted Apgar scoresīabies with lower Apgar scores are more likely than babies with higher scores to need resuscitation (2). There is evidence to suggest that infants whose Apgar scores remain low at five minutes or later are much more likely to suffer long-term neurological damage.Īn HIE diagnosis can be difficult, but our team is here to help. Scores of 4-6 are considered below normal and indicate that the medical intervention is likely requiredĮven if the one-minute Apgar score is low, it may not indicate long-term health concerns (1).Scores of 0-3 are considered critical, especially in babies born at or near term.The five criteria are each scored as 0, 1, or 2 (two being the best), and the total score is calculated by then adding the five values obtained. R – Respiration: The medical team notes the baby’s breathing ability. A – Activity: The medical team notes the baby’s muscle tone/activity level.ĥ. G – Grimace: The medical team notes how the baby responds to stimuli.Ĥ. Fast heart rate (over 100 bpm) – 2 pointsģ.Slow heart rate (below 100 bpm) – 1 point.P – Pulse: The medical team records the baby’s heart rate. A – Appearance: This is an evaluation of the baby’s skin color/tone when they are born.Ģ. The five criteria assessed in the Apgar score are:ġ. ![]() ![]() The scoring system is common practice in hospitals today. Virginia Apgar in 1952, the Apgar score is a simple method of quickly assessing a newborn’s health and vital signs (1). ![]()
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