Apgar-Score • Das sagt der Wert über ein Baby aus (2024)

FAQs

What is the Apgar score answer? ›

The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health.

A baby who scores a 7 or above on the test is considered in good health. A lower score does not mean that your baby is unhealthy. It means that your baby may need some immediate medical care, such as suctioning of the airways or oxygen to help him or her breathe better.

Neonatal Encephalopathy and Neurologic Outcome, Second Edition, published in 2014 by the College in collaboration with the AAP, defines a 5-minute Apgar score of 7–10 as reassuring, a score of 4–6 as moderately abnormal, and a score of 0–3 as low in the term infant and late-preterm infant 6.

The Apgar score is measured at 1 and 5 minutes and then at 10 and 20 minutes as resuscitative efforts are continued. A score of 0 to 3 indicates a severely depressed neonate, whereas a score of 7 to 10 is considered normal.

Each factor gets a score of 0, 1, or 2, and you perform the test twice. A total score of 7 or greater means that the newborn is in good shape. A score of less than 7 means that the newborn's in trouble. Check your textbooks for details on designating a specific score for each factor.

There is mounting evidence that a low Apgar score, commonly defined as a score <7, has been linked with certain mental disorders in later life, such as Autism Spectrum Disorder (ASD), Obsessive-Compulsive Disorder (OCD), and Attention Deficit Hyperactivity Disorder (ADHD) (10–15).

Newborns come in a range of healthy sizes. Most babies born between 37 and 40 weeks weigh somewhere between 5 pounds, 8 ounces (2,500 grams) and 8 pounds, 13 ounces (4,000 grams). Newborns who are lighter or heavier than the average baby are usually fine.

Anesthesiologist Virginia Apgar, M.D. developed this scoring system in 1952, and modern hospitals worldwide still use the Apgar scale to make an immediate assessment of how ready your baby is to meet the world. While it's your baby's first "test," don't be disappointed if they don't ace it.

A score of 7 to 10 after five minutes is “reassuring.” A score of 4 to 6 is “moderately abnormal.” A score of 0 to 3 is concerning. It indicates a need for increased intervention, usually in assistance for breathing.

What is the highest possible score of Apgar that still require resuscitation? ›

For each vital organ the baby is given a score of 2, 1 or 0 points. A total Apgar score of 8 or 10 indicates that the baby is in good condition. A score of 4–7 indicates moderate birth asphyxia. A score of 2–4 indicates severe birth asphyxia and a need for urgent resuscitation.

The World Health Organization has established standards for infant and child growth.1 The average weight of a newborn is around 7 to 7.5 pounds (3.2 to 3.4 kg). Most full-term healthy newborns weigh anywhere from 5 pounds 11 ounces to 8 pounds 6 ounces (2.6 to 3.8 kg).

The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health. A score of 10 is very unusual, since almost all newborns lose 1 point for blue hands and feet, which is normal for after birth.

The maximum score that can be assigned is 10. Scores ranging from 7-10 are considered normal. If the 5-minute Apgar score is abnormal (< 7), appropriate measures should be taken.

If your baby has a low Apgar score, which is defined as 6 or below, they may have signs such as a slow heart rate or no heart rate, weak breathing or no breathing, little flexion or no muscle tone, little to no response to stimulation, and little to no color, which means poor blood flow or circulation.

Apgar stands for Appearance, Pulse, Grimace, Activity and Respiration: A — Appearance: Your baby's healthcare provider will look at your baby's skin tone or color. Newborns don't start circulating oxygen-rich blood until after they're born and have taken their first breath.

Elements of the Apgar score include color, heart rate, reflexes, muscle tone, and respiration. Apgar scoring is designed to assess for signs of hemodynamic compromise, including cyanosis, hypoperfusion, bradycardia, hypotonia, respiratory depression, or apnea. Each element is scored 0, 1, or 2.

Rationale: Apgar scoring is a rapid assessment of the newborn's transition to extrauterine life & is based on 5 components: heart rate, respiratory effort, muscle tone, reflex irritability, & color.

Acronym. Some ten years after initial publication, a backronym for APGAR was coined in the United States as a mnemonic learning aid: Appearance (skin color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), and Respiration.