Investigation
 
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Developed by Dr Virginia Apgar (anesthesiologist) in 1953 as ".... a classification or “grading” of newborn infants which can be used as a basis for discussion and comparison of the results of obstetric practices, types of maternal pain relief and the effects of resuscitation"
Original paper - refl.in/f/apgar1953.pdf
refl.in/hs
Usually performed at 1 min and 5 min after birth.

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Score out of 10.
Appearance 2, Pulse 2, Grimace 2, Activity 2, Respiration 2

A. Appearance:
Blue = 0
Body is pink and the extremities are blue = 1
Entire body is pink = 2

P. Pulse:
Absent = 0
<100 bpm = 1
>100 bpm = 2

G. Grimace response or reflex irritability is a term describing response to stimulation such as a mild pinch:
No reaction = 0
Grimacing = 1
Grimacing + cough, sneeze, or vigorous cry = 2

A. Activity:
Floppy = 0
Some activity = 1
Active motion = 2

R. Respiration:
Not breathing = 0
Slow or irregular = 1
Cries well = 2.

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