APGAR score:

The method of assessing, evaluating and recording the

condition of the baby by observing the vital signs after
delivery :
-A- appearance (color)
P – pulse (heart rate)
G – grimace (response to stimulate)
A – activity(muscle tone)
R -respiration ( respiratory effort or activity)
For each vital signs, the baby is given 2,1,or 0 points
according to their status and the points are totaled.
TIMING
• The APGAR score is done routinely 60 seconds
after the birth of the infant and then it is
commonly repeated 5 minutes after birth. In the
event of a difficult resuscitation, the APGAR score
may be done again at 10, 15, and 20 minutes.
• An APGAR score of 0-3 at 20 minutes of age is
predictive of high rates of morbidity (disease)
and mortality.
 ..
Contd

Dr. Virgina Apgar, 1952, devised the scoring

procedure for quick assessment of neonate
condition.
The APGAR stand for:-
A – appearance (color)
P – pulse (heart rate)
G – grimace (response to stimulate)
A – activity(muscle tone)
R -respiration ( respiratory effort or activity)
Classification of scoring
Severe asphyxia-0-2 APGAR score
Moderate ,, -3-4. APGAR score
Mild ‘’ - 5-7. APGAR score
No ‘’ -7-10. APGAR score