Apgar score of newborns in the table describes the possible interpretations of the results of evaluation on this scale, as well as some of the limitations associated with the use of this method.
In 1952, Dr. Virginia Apgar proposed a new system, which is a method for the rapid estimation of the state of newborns.It was intended mainly to the doctor can quickly decide whether to neonatal intensive care.We can say that Apgar person receives her first assessment - on a ten-system, from zero to ten.Using this system, the state of the newborn evaluated by the five main attributes: heart rate, breathing, skin color, reaction to stimulation, muscle tone.Do it between the first and fifth minutes of life.
Apgar score in the table
|Symptom Apgar||2 points 1 point 0 points|
|skin color||Normal color all over the body - a pinkish face,torso and limbs||Normal, pink complexion and body, but of course bluish||pale or bluish color of the skin on the face, body and limbs|
|heart rate||above 100 beats per minute||less than 100 beats perMinute pulse missing|
|reaction to stimuli||child sneezes, coughs, cries or pushes in response to certain types of stimulation||child reacts to stimuli only the movement of facial muscles||child does not respond to stimuli|
|muscle tone||Active, spontaneous movement||child bends of course, but in general has a low activity||child does not move|
|Respiratory Activity||child breathes normally, shouting||child breathes slowly and unevenly, shoutsweak||breath and scream no|
rank neonatal Apgar
first time such an assessment is carried out immediately after the child's birth.If the result was slightly below normal, the evaluation can be repeated after five minutes.If evaluation is not improved child examined and, if necessary, it will aid.
Sometimes the child can be re-assessed by the Apgar score in ten, fifteen and twenty minutes after birth.
Apgar score for the newborn - the norm
Children who do not require intensive care, which a normal heart rate, and which can breathe independentlyobtained Apgar seven to ten points.Strictly speaking, few people gets ten points, since almost all newborns lose one point because of the bluish color of extremities, which is the norm in the early days after birth.
If Apgar score - 4, 5 or 6, your child may need a ventilator.Such indicators are often children who find it difficult to adapt to life outside the mother's womb because they were born prematurely.It is also associated with drugs, which gave the mother during labor and a very fast delivery.
Very low Apgar score - from zero but the three points - could be a sign that a child has serious health problems, which could lead to difficulty breathing and / or internal bleeding.In such cases, emergency resuscitation.
But Apgar score in any case can not be the basis for the long-term prognosis for the health - physical and mental, level of intelligence or behavioral characteristics of the child.
Using this method, it is impossible to understand, for example, if you have the child's genetic diseases.It only allows you to determine whether the child is healthy enough to do without the respirator and other means used to sustain life.
Usually, a doctor or nurse will tell Apgar score child's parents.If the score is low, it should also report, as well as tell you what it can be called, although we must remember that the exact cause breathing problems or slow heart rate is not always possible to find out at once.
Low Apgar score may be due to factors such as trauma, malformations, infections, hypoxia, hypovolemia, premature birth, low birth weight.In many cases, a newborn with low assessment fails to provide timely care, and in the future they will develop quite normally.