APGAR SCORE

this power point presentation shows the scoring of APGAR score done in infants immediately 1 min, 5 mins & rarely in 10 mins after the birth.

1. APGAR SCORE Dr. P eteti Sairam , MPT (Neuro) Asst. professor

2. In the year 1952 ‘Dr . VIRGINIA APGAR ’ created the system and used her name as a mnemonic for each of the five categories that a person will score . The Apgar score is a scoring system medical professionals use to assess newborns one minute and five minutes after they’re born . Medical professionals use this score to quickly relay the status of a newborn’s overall condition. Low Apgar scores may indicate the baby needs special care, such as extra help with their breathing.

3. How does APGAR score work? The Apgar scoring system is divided into 5 categories . Each category receives a score of 0 to 2 points . A child will receive an overall score of 10. However, a baby rarely scores a 10 in the first few moments of life. This is because most babies have blue hands or feet immediately after birth.

4. A: ACTIVITY/MUSCLE TONE 0 points: If muscles are loose and floppy. 1 point: If there is some muscle tone (limbs flexed). 2 points: If there is active motion.

5. P: PULSE/HEART RATE 0 points- If there is no heartbeat. 1 point- If heart rate is less than 100 beats per minute. 2 points- If heart rate is greater than 100 beats per minute. Heart rate is evaluated by stethoscope.

6. G: GRIMACE Grimace response or reflex irritability is a term describing response to stimulation, such as a mild pinch 0 points: If there is no reaction. 1 point: If there is grimacing. 2 points : If there is grimacing and a cough, sneeze, or vigorous cry.

7. A: APPEA RANCE (COLOR) 0 points- If the skin color is blue, bluish-gray, or pale all over. 1 point- If the body is pink and the extremities are blue . 2 points- If the entire body is pink.

8. R: RESPIRATION/BREATHING 0 points: If the infant is not breathing or Absence of breathing 1 point: If the respirations are slow or irregular, weak crying 2 points: If the infant cries well cry.

9. At five minutes, the baby has ideally improved. If the score is very low after five minutes, the medical staff may reassess the score after 10 minutes. Doctors expect that some babies may have lower Apgar scores. These include: Premature babies Babies born via cesarean delivery Babies who had complicated deliveries

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