With time to adjust to the new environment, and with any necessary medical care, most babies do very well. So rather than focusing on a number, just enjoy your new baby! Note: All information on KidsHealth is for educational purposes only.
For specific medical advice, diagnoses, and treatment, consult your doctor. All rights reserved. Find a Doctor. About Us. Community Programs. California Kids Care. International Services. Video Visits: Telemedicine. The second test is done 5 minutes after birth and is known as the 5-minute Apgar score. So you typically get a 5-minute Apgar score and a -minute score.
If there are concerns about a baby's health and there is a low Apgar score, the test may be given multiple times. In rare or critical cases, the test may be repeated until 10 minutes after birth. You see this more with a preterm birth, an infant that needs resuscitation, and other children at greater risk for neonatal mortality. The Apgar Score dates back to when it was first developed by an anesthesiologist named Virginia Apgar, who was studying and quantifying the effects of obstetric anesthesia on newborns.
Today the Apgar test and the Apgar scoring system is universally recognized as the standard method of neonatal assessment. Performing 1 minute and 5 minute Apgar tests are standard procedure in labor and delivery rooms across the United States.
For each category, the newborn baby is ranked from , with 2 being the highest score. After ranking, the sum of each criteria is added up to determine an overall score between 1 and It is normal for a baby to get a lower score than 10, and does not automatically mean your baby is going to encounter complications. The doctor will examine the physical appearance of the child, focusing on the skin color of the hands and feet.
The doctor will use a stethoscope to measure the newborn baby's heart rate. This is generally considered the most important part of the Apgar Score. The grimace part of the Apgar Score is also known as reflex irritability, which measures a baby's response to stimulation. If a baby's score was low at first and hasn't improved, or there are other concerns, the doctors and nurses will continue any necessary medical care.
The baby will be monitored closely. Many babies with low scores are perfectly healthy and do just fine after adjusting to life outside the womb. If your doctor or midwife is concerned about your baby's score, he or she will let you know and will explain how your baby is doing, what might be causing problems if any , and what care is being given.
This test was not designed to predict a baby's long-term health, behavior, intelligence, personality, or outcome. It was designed to help health care providers tell a newborn's overall physical condition so that they could quickly decide whether the baby needed immediate medical care.
With time to adjust to the new environment and with any necessary medical care, most babies do very well. If heart rate is greater than beats per minute, the infant scores 2 for heart rate. 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. 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.
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. Skin 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. Why the Test is Performed. What Abnormal Results Mean.
Most of the time a low Apgar score is caused by: Difficult birth C-section Fluid in the baby's airway 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 Most of the time, a low score at 1 minute is near-normal by 5 minutes.
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