APGAR Score

 

The APGAR score should be obtained and recorded initially and a 5 minutes with the birth or delivery of any infant. If there are problems with the baby an additional score is given at 10 minutes

 

  • Each of the 5 parameters should be scored and then totaled.
  • The Minimum score is 0
  • The Maximum score is 10

0

1

2

Sign

Heart Rate

Absent

Respiratory Effort

Muscle Tone

Reflex Irritability

Color

Absent

Limp

Blue, Pale

No Response

< 100 min.

Weak Cry

Some Flexion

Some Motion

Extremities Blue

> 100 min.

Strong Cry

Good Flexion

Cry

Pink

 

 

[max total score = 10]

assess at 1, 5min; repeat q5min until score >=7; document individual scores in order presented below, e.g. (2,1,0,1,1)

 

heart rate

[score 0-2]

2 = HR >100; 1 = HR <100; 0 = HR absent

 

respiratory effort

[score 0-2]

2 = strong cry; 1 = slow, irregular; 0 = absent

 

muscle tone

[score 0-2]

2 = active motion; 1 = some flexion; 0 = limp

 

reflex irritability to suction

[score 0-2]

2 = cough, sneeze; 1 = grimace; 0 = no response

 

color

[score 0-2]

2 = pink; 1 = acrocyanosis; 0 = blue, pale