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Meaning of APGAR SCORE

WordNet Dictionary
 
 Definition: [n]  an assessment of the physical condition of a newborn infant; involves heart rate and muscle tone and respiratory effort and color and reflex responsiveness
 
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 See Also: assay, check

 

 

Medical Dictionary
 
 Definition: Named after Virginia Apgar, its inventor, it is universally accepted mnemonic [Appearance, Pulse, Grimace, Activity, Respirations] and scoring system, for assessing degrees of neonatal asphyxia, each modality being allocated a score of 0-2 at 1 and 5 minutes, for a maximum total score of 10.
 
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Biology Dictionary
 
 Definition: This is a scoring system for the evaluation of newborn babies developed by Dr. Virginia Apgar in 1953. A score of 0, 1, or 2 is given to five vital signs which are assessed at 1 minute, 5 minutes, and 10 minutes. The five vital signs are : appearance, pulse, reflex, muscle tone, and breathing pattern. The following is how the scores are given:

Score Color Heart Rate Reflex Muscle Tone/Activity Respiration
0 blue, pale absent no response limp absent
1 body pink, extremeties blue below 100 grimace some flexion of extremeties slow, irregular
2 completely pink over 100 cough, sneeze, cry active good, crying

It is fair to say that APGAR score at 1 minute after birth reflects the neonate's need for attention. A low 1 minute score is not necessarily indicative of any long term problems of the baby (a normal premature child would have a low score, as might the baby of a woman under heavy analgesia). The five minutes score is a reflection of the success of effectiveness of the resuscitation. Neither are the 1 minute or 5 minute scores good indicators of future problems or performances of the child. A low Apgar score at 10 minutes and after may indicate problems, such as cerebral palsy, especially if other clinical signs are present (e.g. hypotonia, seizures, metabolic acidosis)

 
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