APGAR Score

What this tool does

It reproduces the widely taught five-domain APGAR sum used for structured communication after birth. It does not replace neonatal resuscitation training, timing rules, or institutional documentation.

Score

Total = Appearance + Pulse + Grimace + Activity + Respiration (each 0–2; maximum 10)

Reference

APGAR V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg. 1953;32(4):260-267.

Interpretation (teaching bands)

• Trend between 1- and 5-minute scores and response to intervention often matters more than a single number.
• APGAR correlates poorly with long-term neurologic outcome; do not use it alone as a prognosis tool.

Care reminders

• Follow Neonatal Resuscitation Program (NRP) or local equivalent for airway, breathing, and circulation steps.
• Premature infants and medications may alter appearance and tone; document contextual factors.