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The Apgar score is a quick way for health professionals to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. [1] It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar, to address the need for a standardized way to evaluate infants shortly after birth.
It consists of the assessment of heart rate, respiratory effort, muscle tone, reflex irritability, and generalized skin color. Apgar scoring is performed one minute and five minutes after birth. Scoring ranges from 0 to 10, with 0 indicating severe neonatal distress and 10 indicating a smooth transition to extrauterine life. [1]
The New Ballard Score allows scores of −1 for the criteria, hence making negative scores possible. The possible scores then range from −10 to 50, the gestational range extending up to 20 weeks. (A simple formula to come directly to the age from the Ballard Score is Age=((2*score)+120)) / 5. Maturity Rating:
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A score of 7–10 at 5 minutes is normal, a score of 4 to 6 at 5 minutes is intermediate, and a score of 0-3 is considered low. It is important to understand that an Apgar score is not a diagnosis, it is merely a clinical finding. [9] If a newborns score is 0–3, then resuscitation efforts are initiated. Apgar score for newborn infants
If the total score is below 7, or any area is scored 0 at 5 minutes of life, resuscitation efforts and scoring should continue every 5 minutes until 20 minutes of life. At 10 minutes neonates with an APGAR score of 3 or lower are at risk of having neurological dysfunctions and cerebral palsy in the future although there is no guarantee.
Image credits: bonlow87 #5. Was a student nurse shadowing a community health visitor. Visited a pregnant woman who hadn't found out the gender of the baby yet.