APGAR Scoring for Newborns

A score is given for each sign at one minute and five minutes after the birth. If there are problems with the baby an additional score is given at 10 minutes. A score of 7-10 is considered normal, while 4-7 might require some resuscitative measures, and a baby with apgars of 3 and below requires immediate resuscitation.

Sign 0 Points 1 Point 2 Points

A
Activity (Muscle Tone) Absent Arms and Legs Flexed Active Movement

P
Pulse Absent Below 100 bpm Above 100 bpm

G
Grimace (Reflex Irritability) No Response Grimace Sneeze, cough, pulls away

A
Appearance (Skin Color) Blue-gray, pale all over Normal, except for extremities Normal over entire body

R
Respiration Absent Slow, irregular Good, crying