Apgar Score

 

Strength and regularity of heart rate
		100 beats/minute or more (2 points)
		Less than 100 (1 point)
		None (0 points)
Lung maturity
		Regular breathing (2 points)
		Irregular (1 point)
		None (0 points)
Muscle tone and movement
		Active (2 points)
		Moderate (1 point)
		Limp (0 points)
Skin color / oxygenation
		Pink (2 points)
		Bluish extremeties (1 point)
		Totally blue (0 points)
Reflex response to irritable stimuli
		Crying (2 points)
		Whimpering (1 point)
		Silence (0 points)

 

Total Criteria Point Count:
 

 

Apgar Score

 

7 to 10 Points:	Normal
0 to 6 Points:	Distress

 

 

References

1. Apgar V. A proposal of a New Method of Evaluation of the Newborn Infant. Current Researches in Anesthesia and Analgesia. 1953, 32: 261-267. PubMed ID: 13083014
2. Apgar V, Holaday DA, James LS, et al. Evaluation of the newborn infant. JAMA. 1958, 168: 1985-1988. PubMed ID: 13598635
3. Casey BM, McIntire DD, Leveno KJ. The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med. 2001 Feb 15;344(7):467-71. PubMed ID: 11172187