Low Apgar scores at 5 minutes are associated with an increased risk of health problems and death. Muscles actively move with a flexed tone that resists extension. Muscles demonstrate some tone and flexion. Muscles are loose and floppy, without activity. Infant grimaces, cries, coughs, or sneezes. Grimace (measures infant’s reflex response, typically to a light pinch) Infant’s heartbeat is greater than 100 bpm. Infant’s heartbeat is less than 100 beats per minute (bpm). Pulse (measures heart rate determines if infant needs resuscitating) Infant’s body is pink, while hands and feet are blue. Learn more about common labor complications. Most of the time, a low score is a result of: Most infants with low scores at 1 minute have normal scores at 5 minutes. A score of 4–7 is moderately abnormal, while a score of 0–3 is low for full-term and late preterm infants.Ī score below 7 indicates that the infant requires medical help, such as clearing of their airway or physical stimulation to get their heart to beat faster.Ī low Apgar score at 1 minute does not predict long-term health outcomes or adverse clinical outcomes. The highest score is 10, but it is rare for newborns to get 10 because their hands and feet are typically blue immediately after birth.Ī score of 7–10 is considered reassuring and a sign that the newborn is in good health. An infant can get a total Apgar score of 0–10. They then add up the scores for all categories to get the total score. The Apgar score is a mnemonic (a pattern of letters that assists in remembering something) for five categories that reflect the newborn’s general condition at birth:Ī healthcare professional gives the newborn a score of 0, 1, or 2 in each category depending on the newborn’s observed condition.
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