Apgar scale - points after the birth of a child, how the newborn is assessed

Apgar scale - points after the birth of a child, how the newborn is assessed

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The birth of a child is a great event about which we quickly inform our loved ones. We share the most important news, when a newborn baby was born, how big a child was born, how much he weighs, measures, often also how was assessed the baby's condition - the Apgar Scale is helpful for this. What do the points awarded to a newborn child during delivery mean? And do you have to worry that the baby has not received 10 points?

What is the Apgar scale for?

The Apgar scale is nothing but the adopted formula for assessing the state of the newborn. According to the Apgar assumptions, the basic parameters of the child are checked right after birth. This is the first important study in the life of the baby and his parents.

They are made immediately after birth (life in the first minute) and again in the fifth minute of the child's life. The child's condition is monitored further. Sometimes an assessment according to Apgar assumptions is also needed at 10 and 15 minutes of age, to judge whether the condition of the newborn baby improves or worsens.

The name of the study comes from the surname American doctor Virginia Apgar, who created a newborn health assessment scheme in the 1950s. To this day, every child who comes into the world is assessed using the Apgar scale.

10 Apgar points?

Of course, every parent waits for 10 points on the Apgar scale. This is the maximum result that a newborn baby can receive right after delivery. However, this is not always possible.

When assessing the child's condition on the Apgar scale, the week of pregnancy in which the child was born is also taken into account.

What does the newborn get points for?

  • breath - 0 points (brach breathing), 1 point (shallow breathing), 2 points (loud voice, crying, screaming),
  • heart activity - 0 points (none), 1 point (below 100 per minute), 2 points (above 100 per minute),
  • skin appearance - 0 (livid, pale), 1 point (blue legs or hands), 2 points (pink all over the body),
  • stimulus assessment (insertion of the nasal catheter) - 0 points (none), 1 point (slight grimace), 2 points (coughing, sneezing)
  • muscle tension - 0 (flaccid), 1 point (weak movements), 2 points (strong, energetic).

Behind the newborn is considered to be in a normal state at 8-10 points, 4-7 points are considered an average newborn, and 0-3 points are a sign of asphyxia.

Apgar scale - imperfect parameter?

The Apgar scale is an important factor in assessing a child's well-being. Unfortunately, it is not 100% perfect.

For example, during childbirth into the water a child he rarely receives 10 points on the Apgar scale. Why? Because usually a child born in water shortly after delivery does not cry (for which one point is subtracted), in addition the color of his skin is usually blue (for which the point is also deducted). In many centers, the assessment of the state of the newborn in the case of delivery to water is delayed by a minute, but this is not practiced everywhere. For this reason, it is worth realizing some imperfections in assessing the condition of the newborn according to the Apgar scale.

It raises additional doubts assessment of baby's breath. Theoretically the best if the baby will cry soon after delivery. However, this is not always the case, sometimes delivery is so "physiological" that the baby is born silently and begins to cry with some delay. This fact makes points deducted from the child, which has absolutely no impact on the health of the baby.

Among other things for the reasons mentioned above, the assessment of the newborn is repeated. If your child's condition improves, there is usually no cause for concern. The fact that the baby received, for example, 6 points on the Apgar scale right after delivery, and in the following minutes the score increases and the baby's condition improves, that's very good news. In addition, you must be aware that 10 points on the Apgar scale do not decide that an infant will be a health specimen throughout its life. Information about the obtained score is used by doctors to assess whether the child should receive support right after delivery. The Apgar scale is not a predictor for life.

With this in mind, it's worth approaching Apgar scoring calmly, without unnecessary emotions.


  1. Samucage

    You see, the point here is what is considered correct and what is not;) And so the topic is good, of course, respect to the author.

  2. Duke

    Thank you for the information, now I do not tolerate such errors.

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