Posted by Laura on January 19, 2010
Score Card by me. Definition by Tabers @
Apgar score (ăp′găr)
Virginia Apgar, U.S. anesthesiologist, 1909–1974]
A system for evaluating an infant’s physical condition at birth.
The infant’s heart rate, respiration, muscle tone, response to stimuli, and color are rated at 1 min, and again at 5 min after birth. Each factor is scored 0, 1, or 2; the maximum total score is 10.
Interpretation of scores:
- 7 to 10 – good to excellent
- 4 to 6 – fair
- less than 4 – poor condition.
A low score at 1 min is a sign of perinatal asphyxia and the need for immediate assisted ventilation. Infants with scores below 7 at 5 min should be assessed again in 5 more min; scores less than 6 at any time may indicate need for resuscitation. In depressed infants, a more accurate determination of the degree of fetal hypoxia may be obtained by direct measures of umbilical cord blood oxygen, carbon dioxide partial pressure, and pH.
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