The Apgar Score Calculator

The Apgar Score is a test for newborn babies to find out how well the baby is doing after going through the birthing process and how well he or she is faring outside of the womb. The test is given first at 1 minute after your baby is born and again at 5 minutes after his or her birth. To find out what the total Apgar Score of your baby is, simply input the scores he or she got for each of the 5 factors used to evaluate his or her physical condition.

 

Sign Apgar Score Score
0 1 2
Heart rate Absent <100/min >=100/min
Respiratory effort/
Breathing
Apneic Weak, irregular, gasping Strong, lusty cry
Reflex irritability No response to stimulation grimace/ feeble cry when stimulated Facial grimace, cry or pull away when stimulated
Muscle tone Flaccid Some flexion Good flexion of arms/legs that resist extension
Color Blue or pale all over Body pink, hands & feet blue Body and Extremities Pink
The Apgar Score is:

 

The Apgar Score was developed in 1952 by Virginia Apgar, an anesthesiologist. The test’s name also serves as an acronym for the 5 different factors that are tested: Appearance, Pulse, Grimace, Activity, and Respiration. It is actually the very first test for newborn babies to evaluate if the baby needs help breathing or experiencing heart trouble.  It is important to know that the Apgar Score is not used as an indicator for your baby’s future health.

The Apgar scoring system includes the 5 parameters mentioned above each with a corresponding range of scores from 0 to 2, the latter being the highest. In evaluating appearance, healthcare professionals check the baby’s skin color. For pulse, the heart rate is checked using a stethoscope. Grimace, also called reflex irritability, is checked by evaluating the baby’s response to a mild stimulation like a pinch. The evaluation of activity is done by looking at the baby’s muscle tone while respiration is evaluated by observing the baby’s breathing effort. The total score a newborn can get ranges from 1 to 10. The higher your baby scores, the better he or she is adjusting to life outside your womb. Getting a score of 7 or above means that your baby is in good health. It is rare for a baby to get a perfect 10 in the Apgar scoring system because most babies normally have blue hands or feet after birth and it will take some time for these to warm up. A score below 7 means that your baby needs immediate medical attention. The lower the score, the more medical attention your baby will need to help him or her adjust to being outside your womb. However, a low Apgar score does not mean that your baby is abnormal or unhealthy. Most babies that undergo a C-section birth, a long and difficult birthing, or have fluid in their lungs may have a low score at first. Premature babies also tend to have a lower Apgar score compared to full-term babies. Most times, a low score at the 1-minute mark will eventually be normal at the 5-minute mark.

Feel free to use our Apgar Score calculator to see how well your baby adjusted to life outside your womb but remember to keep these numbers in perspective. Your doctor will definitely let you know if there is something to be concerned about. And since you just had a lovely addition to your family, be sure to celebrate!

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