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Apgar Score

By
Daisy Rogozinsky
/
August 24, 2022

The Apgar score is a way to measure the health of a newborn baby. In this article, we’ll define the term “Apgar score” and explain how it relates to birth injury law. 

Key Takeaways

  • The Apgar score is a test given to babies shortly after birth
  • The test is given at least twice: once at 1 minute after birth and again at 5 minutes after birth
  • Apgar stands for appearance, pulse, grimace, activity, and respiration
  • Each element of the Apgar score test is scored on a scale of 0 to 2 and added up for a final score out of 10, with 10 being the highest score
  • If a baby’s Apgar score is low, the medical team will respond accordingly with the proper treatment
  • A failure to respond properly to a low Apgar score may be considered medical malpractice

What Is an Apgar Score?

The Apgar score is a test given to babies shortly after birth. It checks the baby’s heart rate, muscle tone, and other signs in order to see if extra or emergency medical care are needed. The test is usually given twice: once at one minute after birth and once again at five minutes after birth. If there are concerns about the baby’s condition, the test may be given again. 

What Does Apgar Mean?

Apgar stands for:

  • Appearance (skin color) 
  • Pulse (heart rate) 
  • Grimace response (reflexes)
  • Activity (muscle tone)
  • Respiration (breathing rate and effort) 

Each of these five things are used to check a baby’s health. They are scored on a scale of 0 to 2, with 0 being worst and 2 being best. The score is then added up to a total out of 10. 10 is the highest score, but it is rare as most babies are born with blue feet. 

Apgar Sign 2 1 0
Appearance Normal color all over (hands and feet are pink) Normal color (but hands and feet are bluish) Bluish-gray or pale all over
Pulse Normal (above 100 beats per minute) Below 100 beats per minute Absent
Grimace Pulls away, sneezes, coughs, or cries with stimulation Facial movement only (grimace) with stimulation Absent
Activity Active, spontaneous movement Arms and legs flexed with little movement No movement and floppy muscle tone
Respiration Normal rate and effort, good cry Slow or irregular breathing, weak cry Absent

 

What Do Apgar Scores Mean?

An Apgar score of 7 or higher is considered good health. However, a lower score does not necessarily mean that the baby is unhealthy. It can simply indicate the need for immediate medical care such as suctioning of the airways. Many babies with low Apgar scores are perfectly healthy. 

A slightly low score at the one-minute mark is relatively common, especially in the following cases: 

  • Babies born prematurely
  • Babies born through a C-section
  • Babies born after a high-risk pregnancy
  • Babies born after a complicated labor and delivery

If the baby’s low score hasn’t improved at the 5-minute retest, the baby will be monitored closely and the doctors and nurses will continue any necessary medical care. 

Apgar Scores and Birth Injury Law

When a baby’s Apgar score is low, it is the medical team’s duty to act accordingly and provide the proper care. If they fail to do so, it is considered negligence and the parents may have cause for a medical malpractice lawsuit. 

If your baby experienced complications because of healthcare professionals’ failure to properly respond to a low Apgar score, it is recommended that you speak to an experienced birth injury lawyer in order to recover compensation for your pain and suffering.

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