Apgar score

The Apgar score is a test given to newborns soon after birth. This test checks a baby's heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed. The test is usually given twice: once at 1 minute after birth, and again at 5 minutes after birth

1. MR. ABHIJIT BHOYAR

2. INTRODUCTION A test developed in 1952 by DR. VERGINIA APGAR Its also called as babies first test after birth Quick assessment of the newborns overall well being Give one minute after birth and five minute after birth Rate the five vital areas

3. Conti.. The  1-minute score determines how well the baby tolerated the birthing process . The 5-minute score tells the health care provider how well the baby is doing outside the mother's womb. In rare cases, the test will be done 10 minutes after birth

4. What Does " Apgar " Mean ? Apgar stands for " A ppearance ,  P ulse ,  G rimace,  A ctivity, and  R espiration." In the test, five things are used to check a baby's health. Each is scored on a scale of 0 to 2, with 2 being the best score:

5. Conti.. A ppearance (skin color) P ulse (heart rate) G rimace response (reflexes) A ctivity (muscle tone) R espiration (breathing rate and effort )

6. WHY IT HAS TO BE DONE ? To assess the baby’s vital signs The score is helpful for later evaluation.

7. THE 5 SIGNS 1. COLOR If the skin color is pale blue, the infant scores 0 for color. If the body is pink and the extremities are blue, the infant scores 1 for color. If the entire body is pink, the infant scores 2 for color.

8. 2. RESPIRATORY EFFORTS Breathing effort: If the infant is not breathing, the respiratory score is 0. If the respirations are slow or irregular, the infant scores 1 for respiratory effort. If the infant cries well, the respiratory score is 2.

9. 3. HEART RATE If there is no heartbeat, the infant scores 0 for heart rate. If heart rate is less than 100 beats per minute, the infant scores 1 for heart rate. If heart rate is greater than 100 beats per minute, the infant scores 2 for heart rate .

10. 4. MUSCLE TONE Muscle tone: If muscles are loose and floppy, the infant scores 0 for muscle tone. If there is some muscle tone, the infant scores 1. If there is active motion, the infant scores 2 for muscle tone.

11. 5. REFLEXES Grimace response or reflex irritability is a term describing response to stimulation, such as a mild pinch: If there is no reaction, the infant scores 0 for reflex irritability.

12. Conti.. If there is grimacing, the infant scores 1 for reflex irritability. If there is grimacing and a cough, sneeze, or vigorous cry, the infant scores 2 for reflex irritability.

13. RESULT 10 out of 10 is a perfect score The higher the score, the better the condition A score over 7 indicates good condition A score less than 7 may indicate some medical assistance

14. What Abnormal Results Mean 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. Most of the time a low Apgar score is caused by: Difficult birth C-section Fluid in the baby's airway

15. Conti.. A baby with a low Apgar score may need: Oxygen and clearing out the airway to help with breathing Physical stimulation to get the heart beating at a healthy rate

16. Conti.. Most of the time, a low score at 1 minute is near-normal by 5 minutes. 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.

17. limitations Quick assessment Does not necessarily indicates a baby’s long term behavior.

18. THANKS FOR MY CARE