Apgar score
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The Apgar score (or Apgar score) is used to evaluate a newborn's vitality and postpartum adaptation. The newborn is assessed after 1, 5 and 10 minutes after birth. 5 criteria are scored, each 0-2 points. The maximum is 10 points. Prognostically important is the value of the score at 5 minutes of life. The score is named after Virginia Apgar.
| Criteria[1] | 2 points | 1 point | 0 points |
|---|---|---|---|
| Appearance, skin color | pink | acrocyanosis | pale or blue |
| Heart action | over 100/min. | under 100/min. | under 60/min. (asystole) |
| Breathing | loud cry (eupnoea) | irregular, slow (bradypnea) | none (apnea) |
| Tonus, spontaneous activity | active movement | weak flexion of limbs | without movement |
| Reaction to irritation (grimaces during nasal suction) | cough | face stretching/retraction | none |
- Evaluation
- 8-10 points - normal newborn
- 7-4 points – mild birth asphyxia
- < 3 – severe birth asphyxia
Mnemonics[edit | edit source]
- English: Appearance (skin color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), and Respiration. Or also "How Ready Is This Child": Heart rate, Respiratory effort, Irritability, Tone, and Colour.
- German: Atmung, Puls, Grundtonus, Aussehen, Refflux.
Calculation[edit | edit source]
MediaWiki:Lékařská kalkulačka/Apgar
