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MR. ABHIJIT
BHOYAR
INTRODUCTION
ā€¢ A test developed in 1952 by DR. VERGINIA
APGAR
ā€¢ Its also called as babies first test after birth
ā€¢ Quick assessment of the newborns overall
well being
ā€¢ Give one minute after birth and five minute
after birth
ā€¢ Rate the five vital areas
Conti..
ā€¢ The 1-minute score determines how well the
baby tolerated the birthing process.
ā€¢ The 5-minute score tells the health care
provider how well the baby is doing outside
the mother's womb.
ā€¢ In rare cases, the test will be done 10 minutes
after birth
What Does "Apgar" Mean ?
ā€¢ Apgar stands for
"Appearance, Pulse, Grimac
e, Activity,
and Respiration."
ā€¢ In the test, five things are
used to check a baby's
health.
ā€¢ Each is scored on a scale of
0 to 2, with 2 being the best
score:
Conti..
ā€“Appearance (skin color)
ā€“Pulse (heart rate)
ā€“Grimace response (reflexes)
ā€“Activity (muscle tone)
ā€“Respiration (breathing rate
and effort)
WHY IT HAS TO BE DONE ?
ā€¢ To assess the babyā€™s
vital signs
ā€¢ The score is helpful for
later evaluation.
THE 5 SIGNS
ā€¢ 1. COLOR
ā€¢ If the skin color is pale blue, the infant scores
0 for color.
ā€¢ If the body is pink and the extremities are
blue, the infant scores 1 for color.
ā€¢ If the entire body is pink, the infant scores 2
for color.
2. RESPIRATORY EFFORTS
ā€¢ Breathing effort:
ā€¢ If the infant is not breathing, the respiratory
score is 0.
ā€¢ If the respirations are slow or irregular, the
infant scores 1 for respiratory effort.
ā€¢ If the infant cries well, the respiratory score is
2.
3. HEART RATE
ā€¢ If there is no heartbeat, the infant scores 0 for
heart rate.
ā€¢ If heart rate is less than 100 beats per minute,
the infant scores 1 for heart rate.
ā€¢ If heart rate is greater than 100 beats per
minute, the infant scores 2 for heart rate.
4. MUSCLE TONE
ā€¢ Muscle tone:
ā€¢ If muscles are loose and floppy, the infant
scores 0 for muscle tone.
ā€¢ If there is some muscle tone, the infant scores
1.
ā€¢ If there is active motion, the infant scores 2
for muscle tone.
5. REFLEXES
ā€¢ Grimace response or reflex irritability is a term
describing response to stimulation, such as a
mild pinch:
ā€¢ If there is no reaction, the infant scores 0 for
reflex irritability.
Conti..
ā€¢ If there is grimacing, the infant scores 1 for
reflex irritability.
ā€¢ If there is grimacing and a cough, sneeze, or
vigorous cry, the infant scores 2 for reflex
irritability.
RESULT
ā€¢ 10 out of 10 is a perfect score
ā€¢ The higher the score, the better the condition
ā€¢ A score over 7 indicates good condition
ā€¢ A score less than 7 may indicate some medical
assistance
What Abnormal Results Mean
ā€¢ Any score lower than 7 is a sign that the baby needs
medical attention. The lower the score, the more
help the baby needs to adjust outside the mother's
womb.
ā€¢ Most of the time a low Apgar score is caused by:
ā€¢ Difficult birth
ā€¢ C-section
ā€¢ Fluid in the baby's airway
Conti..
ā€¢ A baby with a low Apgar score may need:
ā€¢ Oxygen and clearing out the airway to help
with breathing
ā€¢ Physical stimulation to get the heart beating
at a healthy rate
Conti..
ā€¢ Most of the time, a low score at 1 minute is
near-normal by 5 minutes.
ā€¢ A lower Apgar score does not mean a child will
have serious or long-term health problems.
The Apgar score is not designed to predict the
future health of the child.
limitations
ā€¢ Quick assessment
ā€¢ Does not necessarily indicates a babyā€™s long
term behavior.
Apgar score
Apgar score

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Apgar score

  • 2. INTRODUCTION ā€¢ A test developed in 1952 by DR. VERGINIA APGAR ā€¢ Its also called as babies first test after birth ā€¢ Quick assessment of the newborns overall well being ā€¢ Give one minute after birth and five minute after birth ā€¢ Rate the five vital areas
  • 3. Conti.. ā€¢ The 1-minute score determines how well the baby tolerated the birthing process. ā€¢ The 5-minute score tells the health care provider how well the baby is doing outside the mother's womb. ā€¢ In rare cases, the test will be done 10 minutes after birth
  • 4. What Does "Apgar" Mean ? ā€¢ Apgar stands for "Appearance, Pulse, Grimac e, Activity, and Respiration." ā€¢ In the test, five things are used to check a baby's health. ā€¢ Each is scored on a scale of 0 to 2, with 2 being the best score:
  • 5. Conti.. ā€“Appearance (skin color) ā€“Pulse (heart rate) ā€“Grimace response (reflexes) ā€“Activity (muscle tone) ā€“Respiration (breathing rate and effort)
  • 6. WHY IT HAS TO BE DONE ? ā€¢ To assess the babyā€™s vital signs ā€¢ The score is helpful for later evaluation.
  • 7. THE 5 SIGNS ā€¢ 1. COLOR ā€¢ If the skin color is pale blue, the infant scores 0 for color. ā€¢ If the body is pink and the extremities are blue, the infant scores 1 for color. ā€¢ If the entire body is pink, the infant scores 2 for color.
  • 8. 2. RESPIRATORY EFFORTS ā€¢ Breathing effort: ā€¢ If the infant is not breathing, the respiratory score is 0. ā€¢ If the respirations are slow or irregular, the infant scores 1 for respiratory effort. ā€¢ If the infant cries well, the respiratory score is 2.
  • 9. 3. HEART RATE ā€¢ If there is no heartbeat, the infant scores 0 for heart rate. ā€¢ If heart rate is less than 100 beats per minute, the infant scores 1 for heart rate. ā€¢ If heart rate is greater than 100 beats per minute, the infant scores 2 for heart rate.
  • 10. 4. MUSCLE TONE ā€¢ Muscle tone: ā€¢ If muscles are loose and floppy, the infant scores 0 for muscle tone. ā€¢ If there is some muscle tone, the infant scores 1. ā€¢ If there is active motion, the infant scores 2 for muscle tone.
  • 11. 5. REFLEXES ā€¢ Grimace response or reflex irritability is a term describing response to stimulation, such as a mild pinch: ā€¢ If there is no reaction, the infant scores 0 for reflex irritability.
  • 12. Conti.. ā€¢ If there is grimacing, the infant scores 1 for reflex irritability. ā€¢ If there is grimacing and a cough, sneeze, or vigorous cry, the infant scores 2 for reflex irritability.
  • 13. RESULT ā€¢ 10 out of 10 is a perfect score ā€¢ The higher the score, the better the condition ā€¢ A score over 7 indicates good condition ā€¢ A score less than 7 may indicate some medical assistance
  • 14. What Abnormal Results Mean ā€¢ Any score lower than 7 is a sign that the baby needs medical attention. The lower the score, the more help the baby needs to adjust outside the mother's womb. ā€¢ Most of the time a low Apgar score is caused by: ā€¢ Difficult birth ā€¢ C-section ā€¢ Fluid in the baby's airway
  • 15. Conti.. ā€¢ A baby with a low Apgar score may need: ā€¢ Oxygen and clearing out the airway to help with breathing ā€¢ Physical stimulation to get the heart beating at a healthy rate
  • 16. Conti.. ā€¢ Most of the time, a low score at 1 minute is near-normal by 5 minutes. ā€¢ A lower Apgar score does not mean a child will have serious or long-term health problems. The Apgar score is not designed to predict the future health of the child.
  • 17. limitations ā€¢ Quick assessment ā€¢ Does not necessarily indicates a babyā€™s long term behavior.