The APGAR Scoring System
Posted by: AdminJuly 5, 2008 · 4 Comments
The APGAR Scoring System was developed by Dr. Virginia APGAR as a method of assessing the newborn’s adjustment to extrauterine life. It is taken at one minute and five minutes after birth. With depressed infants, repeat scoring every five minutes as needed. The one minute score indicates the necessity for resuscitation. The five minute score is more reliable in predicting mortality and neurologic deficits. The most important is the heart rate, then the respiratory rate, the muscle tone, reflex irritability and color follows in decreasing order. A heart rate below 100 signifies an asphyxiated baby and a heart rate above 160 signifies distress.
|
Assess |
0 |
1 |
2 |
| HEART RATE | Absent | Below 100 | Above 100 |
| RESPIRATION | Absent | Slow | Good crying |
| MUSCLE TONE | Flaccid | Some flexion | Active motion |
| REFLEX IRRITABILITY | No Response | Grimace | Vigorous cry |
| COLOR | Blue all over | Body pink, extremities blue | Pink all over |
SCORE:
- 7-10 Good adjustment, vigorous
- Moderately depressed infant, needs airway clearance
- Severely depressed infant, in need of resuscitation
Source: Outline in Obstetrics, 2004 Edition by Maria Loreto J. Evangelista-Sia
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where is the score of baby who needs ressucitation and who is moderately deppresed
nice! thank you.<3
the text are so small. sana po mha font size na nababasa. thank you