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  Apgar
 
MI hear people talking about the Apgar score that their baby got. What does it mean?

Your baby will be tested immediately at birth and then 5 minutes later. Simply by noting the baby’s breathing, reflexes, muscle tone, skin colour and heart rate gives a comprehensive rating of the baby’s condition. Generally a baby with a low initial score will get a good score on the second test five minutes later, after the baby has had a chance to adjust to having being born!

Test
0
1
2
Heart rate
absent
below 100 beats per min
above 100 beats per min
Breathing
absent
slow/irregular
regular
Skin colour
blue
body pink, extremities blue
pink all over
Muscle tone
limp
some movements
active movements
Reflex
absent
grimace
cry

The majority of babies score 8 or 9 out of 10 on the initial scoring. This is because it is common to see some blueness in the limbs initially. A baby who has not experienced any oxygen supply problems during the labour and birth will score over 8/10. A score of below 7 may imply some intervention is required, like oxygen for a short time. Below 3 indicates a sever lack of oxygen and swift action is called for.

A -
Skin colour
P -
Heart rate
G -
Reflex irritability
A -
Muscle tone
R -
Breathing

 
   
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