Apgar Score Test to Check the Condition of a Newborn
Apgar scores are assessed by the doctor or midwife on each newborn baby. This examination is carried out to ensure the baby’s condition is healthy and fit so that he can live and adapt to the new environment outside the mother’s womb.
Apgar scores or Apgar scores are one of the physical examinations of babies that are performed in the first and fifth minutes after the baby is born. The higher the Apgarnya value, the better. High Apgar value is considered as a benchmark that the condition of the newborn is healthy and fit after birth.
What is the Value in Apgar Score?
The word ‘Apgar’ itself is taken from several aspects studied, namely:
Activity (muscle activity).
Pulse (heart rate).
Wince (baby’s response and reflexes).
Appearance (appearance, especially baby’s body color).
Every physical aspect of the baby will be examined by a doctor or midwife with the following values and assessment results:
1. Activity (muscle activity)
A score of 2 means that the baby appears active and strong.
A score of 1 means the baby is moving, but weak and inactive.
A score of 0 means that the baby is not moving at all.
2. Pulse (heart rate)
A score of 2 means that the baby’s heart beats more than 100 times per minute.
A score of 1 means the baby’s heart beats less than 100 beats per minute.
A score of 0 means that the heart rate is not detected.
3. WinCE (reflex response)
A score of 2 means the baby grimaces, coughs, or cries spontaneously and can pull legs or arms when given excitatory pain, such as light pinching or snapping of the foot.
A score of 1 means that the baby only grimaces or cries only when stimulated.
A score of 0 means that the baby shows no response at all to the stimulus provided.
4. Appearance (body color)
Score 2 if the baby’s body color is reddish, this is a normal baby’s body color.
Score 1 if the body color is normal, but the hands or feet are bluish.
Score 0 if the baby’s entire body is really grayish, bluish or pale.
Value 2 if the baby cries strong and can breathe normally.
A value of 1 if the baby cries weakly with groans and irregular breathing patterns.
Score 0 if the baby is not breathing at all.
After being assessed above, values from each of the aspects examined will be added and a total value of 0-10 obtained. The following are the results of the Apgar score interpretation:
A score above 7 indicates that the baby is in good or perfect condition.
A score of 5-6 indicates that your baby is feeling unwell or fit and may need breathing assistance.
A score below 5 is an emergency situation for babies that indicates that the baby needs immediate resuscitation.
Beware of Low Apgar Scores
In certain cases, such as when the baby is in critical condition after birth, the Apgar score will be assessed again at the 10th minute, 15th minute, and 20th minute to monitor the development of the baby’s condition.
Critical condition of the baby can be seen from the results of the assessment of a low Apgar total score, which is 0-3. This low score is also associated with an increased risk of infant death, brain defects, and epilepsy in later infants, especially if the Apgar score does not improve within the first 20 minutes after birth.
If you give birth in a hospital or practice midwife, the Apgar test will usually be done by a doctor or midwife when the baby is born. If you feel confused, it never hurts to ask directly to the obstetrician or pediatrician so that you get a more complete explanation related to the value of newborn Apgar.