Apgar test


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A minute after birth, the child undergoes the first test: the Apgar test (also called the Apgar scale), which allows you to assess the health of the child immediately after his birth. The name of the test comes from its author: Virginia Apgar and is an acronym of words in five areas of assessment.

And how appearance (appearance, mainly the appearance of the child's skin is taken into account)

P for pulse rate (heart rate, i.e. the number of heart beats per minute)

G like grimace (grimaces, i.e. the child's reaction to annoying situations, patting, or delicate flicks)

And how activity (activity - muscle tension is assessed by observation and by assessing the resistance force when bending the legs and arms)

R for respiration (breathing if the child can breathe and cry on their own)

Feature0 points1 point2 points
ANDANDppearance (Skin color) skin colorcyanosis of the whole bodypink torso, cyanosis of part of the limbswhole body pink
PPulsepuls / for min.imperceptible<100>100
GGrimace (Reflex irritability) reaction to stimuli (e.g. nasal catheter insertion)no stimulus responsewincecoughing or sneezing
ANDANDctivity (Muscle tone) muscle toneno tension, general flaccidityreduced tension, bent limbsproper tension, independent movements, high activity
RRespirationoddychanieno breathslow and irregulargood breathing or loud crying

Each of these factors is rated on a scale of 0 to 2 (very good condition). The ideal score for a newborn is 10 points. When a child receives between 7 and 10 points, it means that their condition is good, and obtaining below 7 points indicates that the child is in danger and requires special observation or medical attention. The Apgar test is repeated after 5 minutes and the obtained score may differ from that of the first minute.

Should the Apgar test result bother? Yes and no. It should be considered. However, low scores do not mean that your child will grow less. Most children with low Apgar scores develop normally.