If you have ever had a baby, you probably see and APGAR reading in your child’s health checklist. So do you understand what APGAR is?
APGAR Scale Test
As soon as your baby makes his or her grand entrance into the world, she will be given an APGAR test. This test helps your doctor or midwife to evaluate your baby's condition and determine if he or she needs any treatment. It is quick and painless, and if the test indicates your baby is in distress, doctors can administer necessary medical attention immediately.
The APGAR scale and testing methods were developed in the 1950s by noted obstetric anesthesiologist Dr. Virginia Apgar. Your baby is first tested one minute after birth to determine how well he or she experienced the birth process, and then again at five minutes after birth, to determine how well he or she is adjusting to life outside the womb or responding to any medical procedures.
The test is not only named after Dr. Apgar, it is also an acronym for the five characteristics on which your baby is tested: Appearance, Pulse, Grimace (reflex response), Activity (muscle tone), and Respiration. Your baby is given a score between zero and two for each characteristic and then the scores are combined. Very few babies score a perfect ten - even perfectly healthy ones - particularly at the one minute test. A score of between 7 and 10 indicates your baby is in good shape and doesn't require any extraordinary medical attention, while a score between four and six indicates your baby is in fair condition and may need some help breathing. The nurse or pediatrician may administer oxygen under your baby's nose or vigorously rub her skin to aid circulation and respiration. If your baby scores under four, she is considered to be in poor condition and may require more serious, immediate measures such as oxygen administered from an oxygen mask.
The following is a breakdown of the APGAR scale:
0 - Baby's entire body is bluish-gray or pale
1 - Baby's body has good color, with a bluish tinge to the feet or hands
2 - Good color over entire body
0 - No heart beat
1 - Fewer than 100 beats per minute
2 - More than 100 beats per minute
0 - No response when airways are suctioned
1 - Baby grimaces during suctioning
2 - Baby grimaces and pulls away, coughs, or sneezes during suctioning
0 - Baby is limp, no detectable movement
1 - Baby displays some flexing of arms and legs
2 - Baby moves vigorously
0 - Baby is not breathing
1 - Baby cries weakly, may sound like whimpering, with slow or irregular breathing
2 - Baby cries strongly, with a normal rate and effort of breathing
Even if your baby has a low score at one minute doesn't mean that he or she won't be perfectly healthy eventually. Many babies who are delivered via c-section, a difficult labor and delivery, or who are premature have lower-than-normal initial scores, but recover fully.
The APGAR test is an invaluable part of your baby's first moments and can ensure that he or she receives critical medical attention in the event of a low score.
From the very first day to life, newborns will have an APGAR test. However, don’t expect your baby to have an absolute score. It is your baby’s first test, and it is not predictive of his or her behavior and intelligence.
What is the APGAR index?
The infant’s APGAR index is the first health test that babies take after being given birth to assess their baby’s overall health. This indicator aims to assess the overall health of the newborn at birth.
When to check the APGAR index?
The APGAR test is performed immediately after birth. Test scores are recorded after one and five minutes from birth.
Why we have to check the APGAR?
The APGAR index provides information about your baby’s physical health, helping doctors determine which treatment needs to be done immediately and in the future.
What are the evaluation criteria of the APGAR index?
The APGAR index is assessed through five criteria of skin color, heart rate, stimulating reflexes, movement, and respiration.
Rating APGAR index in newborns
To test your baby, the doctor will measure 4 APGAR and score on a scale of 0 to 2, the ideal total of the five indicators is ten. Healthy babies have an APGAR index above seven on the first try. Children with a low score of four to six need medical assistance such as oxygen-breathing or sputum aspiration. Infants with APGAR scores less than four should be placed in an emergency.
At the 5th minute after birth, a score of seven to ten is standard. If the score is below seven, the baby will have to continue to be monitored and retested every five minutes within 20 minutes. A lower APGAR score than usual does not mean the baby will have long term health problems.
So above is everything you should know about the APGAR scale test. And we hope that the information is enough for you to feel safe and in control of any situation.
If you have any question or comment, please feel free to share with us if you have any problems that you need to discuss, please right to use so we will create a topic. We hope that you will have a comfortable and safe pregnancy.
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