![]() However, if the baby has a low score at one minute and a normal score at 5 minutes, this, too, is considered normal, particularly if the birth took a long time, or if the mother was given pethidine during labour, which can affect the baby’s breathing.Ī low Apgar score gives doctors a warning signal that they should check the baby for hidden health problems, such as breathing difficulties or internal bleeding, and allows them to give the baby crucial medical attention when it is most needed. There are no signs of the baby’s breathing = 0.īaby has only a weak cry and can’t seem to get enough air into its lungs = 1.īaby is breathing well and can cry strongly = 2.Ī score of 7 or more is considered normal. No response when the sole of the foot is stimulated = 0.īaby grimaces when the foot is stimulated = 1.īaby cries when the foot is stimulated = 2.īaby shows some muscle flexing in its feet and hands = 1.īaby is active and can flex the muscles in its feet and hands = 2. ![]() Slow heart rate (below 100 beats per minute) = 1.įast heart rate (more than 100 beats per minute) = 2. Each element is given a score of 0, 1 or 2 to provide a total score of 10. The score is based on 5 elements, which are sometimes named after the letters in Apgar’s name: Appearance, which relates to the pinkness or blueness of the baby’s skin tone Pulse, which relates to its heart rate Grimace, which tests the baby’s reflexes and response when the sole of its foot is stimulated Activity, which checks the baby’s muscle tone and Respiration, which assesses the rate of the baby’s breathing. The Apgar score was designed to assess a baby’s health quickly: the checks are conducted at one minute and 5 minutes after birth. ![]()
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