What is an Apgar Score Chart?
The Apgar test is an assessment done on newborn infants. Medical practitioners conduct this test a minute after babies are born to see if they handled the birthing process well and after 5 minutes to see if they are adjusting to the environment outside the mother's womb without much difficulty.
On rare occasions, physicians also use Apgar scores to assess infants 10 minutes after birth in case the infant encounters any complications. This assessment must be done immediately after birth and after 5 minutes to ensure immediate intervention, especially if the infant shows signs of asphyxiation, as asphyxiation results in poor neurologic outcomes.
The Apgar scoring system was named after its creator, Dr. Virginia Apgar. The name simultaneously serves as a mnemonic to help practitioners remember the five factors to check in a newborn infant. Here's a list of what each letter corresponds to:
- A = activity or muscle tone
- P = pulse or heart rate
- G = grimace or the infant's response to stimulation
- A = appearance or skin color
- R = respiration or breathing.
An infant can get a score of 0 to 2 for each criterion, with 0 being the lowest and 2 being the highest. A low Apgar score (3 and below) immediately after birth indicates that the infant is in dire need of medical care; for the 5-minute Apgar score, the threshold increases to 6. In general, however, a score of 7-10 is good.
Do note that newborn infants don't usually get a total score of 10 within the first minute because their hands and feet remain bluish until they warm up. A healthy preterm infant may also get a low score because they are immature.
Since this chart depends on the practitioner's observation, it can be quite subjective. It may also vary based on the infant's gestational age, weight, and congenital anomalies; it may also be influenced by the mother's medication and aneshesia.










