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- $Unique_ID{BRK00320}
- $Pretitle{}
- $Title{The Apgar Score and What it Means}
- $Subject{Apgar newborn evaluation Pregnancy Childbirth Score evaluate baby's
- color baby oxygenation to tissues heart rate respiration breathing reflex
- muscle tone scores Babies}
- $Volume{K-0}
- $Log{
- Apgar Scoring System*003201.tid}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- The Apgar Score and What it Means
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-
- QUESTION: My wife recently gave birth to an adorable baby girl, our first.
- During one of my visits to the hospital, our physician and all the hospital
- doctors came to visit my wife, and I was asked to wait in the corridor. When
- they came out they started to talk about my baby's score, something to do
- about breathing. I couldn't understand what they were saying, but it seemed
- important, and I have continued to wonder what they were talking about. Can
- you help me?
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-
- ANSWER: It is amazing what you can hear in a hospital corridor, particularly
- when residents (physicians in training) get excited about a case and fail to
- withdraw to a more private area before discussing their findings. It is
- evident that all went well with your child, and that the conversation was more
- for teaching purposes than actual care, but they were evaluating the Apgar
- Score that is given to each new born at 1 minute and 5 minutes after birth.
- It is named after Dr. Virginia Apgar, an American anesthesiologist who
- designed it to evaluate a baby's status after birth and determine the need for
- resuscitation, and to aid in the prediction of future brain function based
- upon its condition at the time of delivery. Five factors are evaluated, and
- each is given a score from 0 to 2, making 10 the perfect score. They are the
- baby's color (as a sign of good oxygenation to the tissues); the heart rate,
- the rate of respiration (or breathing); the presence of a reflex when a tube
- is placed in the nostril; and the muscle tone based on how the baby moves its
- arms and legs. Babies rarely get a score of 10, but when low scores change
- rapidly to higher ones after a few minutes, the outlook is good. Any newborn
- with a score of 7 or below continues to be checked every 5 minutes to provide
- a basis for determining the actions and care necessary to correct any
- problems. Of course, now there are many other tests which can be used by the
- physician to help assure that prompt and effective treatment will be used to
- carry the infant past the initial difficult moments of life, and permit proud
- Moms and Dads to display their personal miracle to all the world.
-
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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