Understanding APGAR Scores

Posted on 07 09, 2009 under Predad by gregoryng | View Comments

One of the first things you will hear after the birth of your kid, is the APGAR score. This will be called out by the delivery nurse after you hear your kid"s first cry, after you hear your wife sobbing and before you start calling your family telling them the good news.

The word rhymes with Ackbar but is of no relation to the brilliant Mon Calamari commander of the Rebel Fleet, Admiral Ackbar. APGAR is an acronym for Activity, Pulse, Grimace, Appearance, and Respiration. Basically, your kid will be tested at 1 minute and 5 minutes after birth and it gives the medical staff an idea of how well your kid is doing. Each of the 5 scores are generated from the following standard:

 

Activity (muscle tone)
0 — Limp; no movement
1 — Some flexion of arms and legs
2 — Active motion

Pulse (heart rate)
0 — No heart rate
1 — Fewer than 100 beats per minute
2 — At least 100 beats per minute

Grimace (reflex response)
0 — No response to airways being suctioned
1 — Grimace during suctioning
2 — Grimace and pull away, cough, or sneeze during suctioning

Appearance (color)
0 — The baby"s whole body is completely bluish-gray or pale
1 — Good color in body with bluish hands or feet
2 — Good color all over

Respiration (breathing)
0 — Not breathing
1 — Weak cry; may sound like whimpering, slow or irregular breathing
2 — Good, strong cry; normal rate and effort of breathing

10 is the highest number your baby can receive. And many times the score will differ between the first and second test. Any score over 7 is considered very healthy. In 98% of cases, the APGAR scores beat 7 after the 5 minute test.

So what do noodads need to know? You need to know 3 things:
• Your kid will be taken immediately after birth to get their score
• That a low score on the first test is not worth panicking about
and
• Admiral Ackbar Rules

 

  • purplern
    Just a heads up, your "acronym" is actually a "backronym"

    It's named after Virginia Apgar, who invented the score. It was just fortuitous that the assessments fit in nicely with her name :)
  • Jill

    You mean "they said babies never get 10s at that hospital"?!? As in, kids in their hospital are never born with active motion, over 100BPM, full reflexes to suctioning, in pink health (or red from the screaming) and crying? That's mighty strange! I'd say if that is the healthy response, more kids would be getting that?

    Might be interesting to research average scores at different hospitals and see if there are differences that may mean patterns in the hospital results (arising from procedures) or measuring standards (though these seem quite distinct).

    What do I know. I haven't yet delivered.
  • you can always ask what the average is. I remember them telling me our baby got an 8 and then a 9 and said they were surprised, they said babies never get 10s at that hospital, so...the nurses will know.
  • BmoreDad
    • Admiral Ackbar Rules
    Damn straight!
  • wahoodad
    I think Kaplan is starting up an APGAR Prep class so overachieving parents can make sure their kid scores high...
  • redhawk
    This was a good idea for an article. Back when I worked in special ed, we always asked about APGAR when doing assessments.
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