APGAR score
Newborn condition at 1 and 5 minutes.
Inputs
0 of 5Appearance (color)
Pulse
Grimace (reflex irritability)
Activity (tone)
Respiration
When to use
- At 1 and 5 minutes after birth (and every 5 minutes if below 7).
Pearls and pitfalls
- Resuscitation should not wait for the 1-minute score.
Why use
Universal newborn assessment.
| Criterion | Points |
|---|---|
| Appearance (color): Blue or pale all over | 0 |
| Body pink, extremities blue | +1 |
| Pink all over | +2 |
| Pulse: Absent | 0 |
| Below 100 | +1 |
| 100 or more | +2 |
| Grimace (reflex irritability): No response | 0 |
| Grimace | +1 |
| Cry or active withdrawal | +2 |
| Activity (tone): Limp | 0 |
| Some flexion | +1 |
| Active motion | +2 |
| Respiration: Absent | 0 |
| Slow or irregular, weak cry | +1 |
| Good, crying | +2 |