In this article you will find:
- Who designed the Apgar score?
- At what point is it applied?
- Recovery of the Apgar score
The Apgar score is a measurement that is performed at the baby minutes after birth, which evaluates the color of the body, muscle tone, reflexes, and cardiac and respiratory activity in the newborn. The pediatrician and neonatologist Stefan Hosiasson, extends on the subject.
Who designed the Apgar score?
The Apgar score was developed by the anesthesiologist Virginia Apgar, who developed several studies to prevent suffocation and reduce the mortality rate of newborns.
The american specialist, created a system of evaluation with the purpose of improve the way of classifying the intensity of the suffocation of infants, which allowed to anticipate the neurological damage associated with, and design strategies to prevent it.
At what point is it applied?
The Apgar score is a measurement that is conducted on newborns at one minute and five minutes after birth. This score is performed by the neonatologist in the delivery room, which considered several basic parameters that reflect the vitality with which is born the neonate:
- Heart rate: evaluates the frequency of the heartbeat
- Breathing: reveals the maturity and health of the lungs. The breathing can be normal, slow or non-existent.
- Muscle tone: measures the strength of the movements, flexion of the extremities.
- Reflex irritability: (response to stimuli): crying and grimacing, it may show that the baby responds well to stimuli.
- Color: shows the degree of oxygenation. A pink skin determines to a very good degree of oxygenation.
The pediatrician and neonatologist, Stefan Hosiasson, explains that: “each parameter is assigned a note that can be 0, 1 or 2, based on objective observations. The sum of all these notes is the Apgar score”.Read also: After childbirth how to care for the baby at home?
To the doctor Hosiasson is considered to be very low with a score less than 3, moderately low when it is between 3 and 7, and normal if you are on 7.
The expert points out that the evaluation is not performed at the time of the birth, since the baby is frequently born purple, tired and with a decreased muscle tone product of the effort made during labor and delivery, and this is considered normal provided that it recovers quickly, before 1 minute.
Recovery of the Apgar score
|Sign / Value||0||1||2|
|Appearance (color) *||Pale or blue||Pink body |
|Pulse||Not detectable||Less than 100||More than 100|
|Grimace (reflex irritability)||No reaction to the stimulus||Grin||Loud cry|
|Activity (muscle tone)||Flaccid (weak or none)||Some movement of limbs||A lot of activity|
|Breathing||No||Slow, irregular,||Good (with crying)|
Some specialists say that currently the resuscitation active in the delivery room, the measurement of other metabolic parameters in blood, neurological assessments, specific measures modern prevention of harm as the hypothermia selective, and the ventilatory support hemodynamic; have meant that the score Off miss something the protagonists in decision making and its correlation with subsequent damage neurological, however, it continues to be as simple and effective, which originated in the brilliant mind and visionary of Dr. Apgar, considered by many as one of the founders of the Neonatal modern.