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Abstract

This is an extremely popular system for initial evaluation of the neonate immediately after birth. It was developed by Virginia Apgar in 1953 [1]. The score is designed to identify depressed infants requiring resuscitation in the first few minutes of life. Attention is focused on five clinical signs: heart rate, respiratory effort, muscle tone, reflex irritability, and color (Table 25.1). Scoring is usually done at 1 and 5 minutes after birth. Babies scoring 8 to 10 generally need no respiratory assistance and can be observed. Those scoring 4 to 7 generally require oxygen administration by bag and mask and may need endotracheal intubation.

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References

  1. Apgar, V: A proposal for a new method of evaluation of the new born infant. Anesth Analg 1953; 32: 260.

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  2. Shnider, SM, Levinson G: Anesthesia for Obstetrics. Baltimore, Williams & Wilkins Co, 1979.

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© 1989 Springer-Verlag New York Inc.

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Doyle, D.J. (1989). Neonatal Apgar Score (APGAR). In: Computer Programs in Clinical and Laboratory Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3576-7_26

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  • DOI: https://doi.org/10.1007/978-1-4612-3576-7_26

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-8162-7

  • Online ISBN: 978-1-4612-3576-7

  • eBook Packages: Springer Book Archive

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