apgar score

1. PEOPLES COLLEGE OF NURSING AND
RESEARCH CENTER, BHOPAL
• SEMINAR PRESENTATION
• TOPIC – APGAR SCORE
• SUBJECT – MIDWIFERY
Under Guidance By:- Presented By:-
Mrs. NITIKA BHARGAV Mr. RAJEEV LOCHAN
Asst. Prof. B. SC. (N) 3rd Year
PCN & RC PCN & RC

2. CONTENT
INTRODUCTION
DEFINITION
WHAT IS APGAR SCORE?
PURPOSE OF APGAR SCORE
APGR SCORE TABLE
FACTORS AFFECTING A. S.
SUMMARY
BIBLIOGRAPHY

3. INTRODUCTION
 A test developed in 1952 by Dr. Virginia
Apgar.
 Quick assessment of the newborn’s
overall well-being
 Given one-minute after birth and five
minutes after birth
 Rates 5 vital areas

4. DEFINITION
• The Apgar Score is a practical method of
systematically assessing newborn infants
immediately after birth to help identify
requiring resuscitation and to predict
survival in the neonatal period.

5. What is Apgar Score ?

6. APGAR
A – Appearance (i.e. skin color)
P – Pulse (i.e. heart rate)
G – Grimace ( i. e. respone
. to stimuli)
A – Activity ( i. e. Muscle
, tone )
R – Respiration

7. PURPOSE
To assess the baby’s vital signs quickly
The assessment at 1 minute is important
for the further management of
resuscitation,
However, it has been shown that an
assessment at 5 minute is more reliable
as a predictor of the risk of death during
the 28 days of life.

8. APGAR SCORE TABLE:-
SIGN 0 1 2
Appearance Blue, Pale Blue extremities
Pink body
Pink all over
Pulse Absent <100 b/m >100b/m
Grimace No response to
stimulation
Grimace to
stimulation (no
cry)
Cry; active response to
stimulation
Activity None Some flexion of
arms or legs
Active flexion
Respirations Absent Weak, irregular &
slow
Strong crying

9. Reflexion Heart beat

10. Respiration Muscle tone

11. Apgar score 7 - 10
• Achieved by 90% of neonates
• Nothing is required, except
 nasal and oral suctioning
 drying of the skin
maintenance of normal body
temperature.

12. APGAR SCORE 4 - 6
• Suffered mild asphyxia just before
birth.
-Respond to vigorous stimulation
-Oxygen blown over the face.

13. APGAR SCORE 0 - 3
• These neonates
are severely
asphyxiated and
require
immediate
resuscitation

14. FACORS AFFECTING APGAR SCORE
Drugs given to the mother during labour
and immaturity.
Analgesics, Narcotics & Sedatives
Precipitous Delivery
Acute Cerebral Trauma
Airway Obstruction – Choanal Atresia
Hemorrhage – Hypovolemia
Spinal cord trauma

15. SUMMARY
• INTRODUCTION- A test developed in 1952 by Dr.
Virginia Apgar.
• Definition
• PURPOSE:- To assess the baby’s vital signs quickly.
• 1 minute & 5 minute resuscitation
• A- Appearance
• P- Pulse
• G- Grimace
• A- Activity
• R- Respiration

16. CONTD…
Factors affecting A. S. :- Drugs given to the
mother during labour and immaturity.
Analgesics, Narcotics & Sedatives

17. BIBLIOGRAPHY
Textbook of pediatrics by Kliegman &
Janson volume -1, 18th edition Page no. –
679-680
A comprehensive textbook of MIDWIFERY
& GYNECOLOGICAL NURSING
by ANNAMMA JACOB page no.- 377-388
Textbook of Pediatrics by:- Parul Datta 4th
edition, page no.- 665

18. STUDENT ASSIGNMENT
• You are collecting the 1 minute APGAR
on a male newborn. You note that HR-
140 b/m, the baby’s cry is strong &
regular, Body is pink with slightly blue
hands, there is some flexion in arms &
legs, while assessing the newborn it
moves & cries. What is your patient’s
APGAR SCORE?

19. THANK YOU
THANK YOU