What Is An Apgar Score?

Apgar score
The Apgar score is the first evaluation for your baby, done at the birth room as soon as your baby is born. This assessment is designed to quickly assess the health of a newborn immediately after birth as well as to determine the need for emergency medical support for the baby.
Although the Apgar score was developed in 1952 by an anesthetist named Virginia Apgar, we can also hear that this word Apgar is a word composed of the first letter of the corresponding word group: A ppearance (external manifestations), P ulse (pulse), G rimace (grimace), A ctivity (activity), and R espiration (respiratory).
The Apgar evaluation is usually done twice in newborns: The first time is 1 minute after birth and the second time is 5 minutes after birth. Sometimes, if there is doubt about the condition of the newborn, or a low 5-minute Apgar score, a third assessment may be made at 10 minutes after birth

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There are 5 factors used to evaluate the health status of babies, each of which is scored on a scale of 0 to 2, with 2 being the highest:
Appearance (skin color)
Pulse (heart rate)
Grimace response (medically called "stimulating reflex")
Activity and muscle tone
Respiratory (breathing and exertion)
Doctors, midwives or nurses add scores of these 5 together to make an Apgar score. The scores achieved are between 0 and 10, with 10 being the highest.
Apgar score
Apgar Mark
2
first
0
Heartbeat
(circuit)
Normal (> 100 beats / minute)
<100 beats / minute Not available (No pulse) Breathing (frequency and exertion) Normally crying good Slow or irregular breathing, weak crying Not available (not breathing) Grimace (Response or "stimulating reflex") Pulling, sneezing, coughing, or crying when stimulated Only face movements (grimaces) when stimulated None (does not respond to irritation) Work (muscle tone) Positive, spontaneous advocacy Arms and legs folded with slight movement No movement, "soft" tone Appearance (skin color) Normal body color (ruddy hands and feet) Normal colors (but hands and feet bluish Blue-gray or purple-green all over What does an Apgar score mean? Children with Apgar scores of 8 or above are generally considered to be in good health However, when a child has a lower Apgar score does not mean that your child is not healthy or abnormal.


A score lower than 8 indicates that your child needs immediate special care, such as airway ventilation or oxygen to help him breathe, after doing these exercises he or she will probably improve. than.
Apgar score was reevaluated after 5 minutes of birth. If your child's score is initially low and does not improve, or when there are any other doubts, the doctor and nurse will continue to perform necessary medical care and monitor your child closely. Some babies need supportive care for their postpartum health condition; others need longer than normal time to adjust themselves when the mother has to go out. Most babies with slightly lower initial Apgar scores are healthy afterwards.
Young parents need to master and understand their child's Apgar score This test is designed to help health care professionals assess the overall physical condition of the newborn, so it can quickly determine if the baby needs immediate medical care.



It is not designed to predict a baby's long-term health, or behavior, intelligence, personality, or outcome. Very few children reach a perfect score of 10, because their hands and feet often stay green until they warm up. And perfectly healthy babies sometimes have lower-than-normal Apgar scores, especially in the first few minutes after birth.
Keep in mind that a slightly low Apgar score (especially in 1 minute) is common for some babies, especially in babies born to high-risk pregnant mothers, after surgery. pregnancy or after a complicated labor and delivery. Lower Apgar scores are also found in premature infants, which generally have lower muscle tone than full term infants and these preterm infants, in many cases, need closer monitoring and supportive breathing. due to their immature lungs.
If your doctor or midwife has any doubts about your child's Apgar score, they will give you information and will explain your child's condition, the causes, if any, and care, Treatment is carried out.




With the time to adjust to the new environment, and with any necessary medical care, most babies will be healthy. So, instead of focusing on one number, take the time to enjoy the joy of your newborn!
References.

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