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APGAR which stands for activity, pulse, grimace, appearance and respiration is a quick test performed at one and ve minutes after birth. The one-minute score determines how well the baby tolerated the birthing process. The ve-minute score assesses how well the newborn is adapting to the new environment.
SCORE: 0 Breathing
Absent
SCORE: 1
Weak or irregular
SCORE: 2
Infant is breathing and crying
Reex response
No response to stimulation Grimacing when stimulated Grimacing, crying and coughing
Heart rate
Absent Slow Fast
An APGAR rating is based on a total score of one to 10, with 10 indicating the healthiest infant. The test is carried out by a doctor, midwife or nurse who evaluates the babys breathing, heart rate, muscle tone, reexes and skin colour and assigns a value between zero and two for each of the ve physical indicators.
Muscle tone
Limp Some bending or stretching of limbs Active movement
Skin colour
Pale blue body pink with blue extremities Entire body is pink