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Assessment of the newborn on the Apgar scale
About the Apgar scale
The scale assumes a cumulative analysis of five criteria, each of which is evaluated completely from zero to two inclusive. The evaluation result can be in the range 0-10.
|Generalized pallor or generalized cyanosis
|Pink body coloration and cyanotic limb coloration (acrocyanosis)
|Pink coloring of the whole body and limbs
|less than 100
|less than 100
|The reaction is weakly expressed (grimace, movement)
|Reaction in the form of movement, coughing, sneezing, loud screaming
limbs hanging down
|Reduced, some limb flexion
|Irregular, weak cry (hypoventilation)
|Normal, loud scream
InterpretationThis testing is carried out in the first and fifth minutes after birth. A score below 3 indicates a critical condition of the newborn, more than 7 is considered a good condition (normal).
Additional informationThe Apgar scale was developed for medical personnel to determine which children need more careful supervision. A child who gets 5 points needs more careful supervision than a child who gets 7 to 10 points. A child who received 5-6 points per minute on a scale after birth, but after five minutes increased his score to 7-10, becomes a child that you should not worry about. A child who started life with five points on the Apgar scale and remained with the same 5 points 5 minutes after birth needs more careful supervision. Perfect 10 points are rare.
The Apgar score at the 1st minute correlates with the pH of umbilical cord blood, this index indicates intrapartum asphyxia. The Apgar score at the 5th minute correlates with the final neurological outcome.
Category - medicine