APGAR Score
• After delivering the baby, an assessment of the general condition is
done after one minute and again after five minutes.
• This involves the consideration of five specific signs and the degree
to which they are present or absent.
• The factors assessed are:
– Appearance - Colour
– Pulse - Heart rate
– Grimace - good grimace
– Activity - Muscle tone
– Respiratory efforts – vigorous crying
, APGAR Score Chart
Sign Score 0 Score1 Score2
Appearance Pale or Body pink, Pink all over • A normal infant in good
blue Extremities condition at birth will
blue achieve an APGAR score of 7
to 10.
• A score of 0 to 3 is severe
Pulse/ Absent Less than More than birth asphyxia and 4 to 6 is
heart rate 100/min 100/min moderate birth asphyxia,
both of which require
immediate resuscitation of
Grimace None Slight Good the baby.
Activity (tone) Limp Some Spontaneou
flexion/ s
movement movements/
active
Respiratory None Weak or Good/vigors
effort slow/gaspin cry
g
• After delivering the baby, an assessment of the general condition is
done after one minute and again after five minutes.
• This involves the consideration of five specific signs and the degree
to which they are present or absent.
• The factors assessed are:
– Appearance - Colour
– Pulse - Heart rate
– Grimace - good grimace
– Activity - Muscle tone
– Respiratory efforts – vigorous crying
, APGAR Score Chart
Sign Score 0 Score1 Score2
Appearance Pale or Body pink, Pink all over • A normal infant in good
blue Extremities condition at birth will
blue achieve an APGAR score of 7
to 10.
• A score of 0 to 3 is severe
Pulse/ Absent Less than More than birth asphyxia and 4 to 6 is
heart rate 100/min 100/min moderate birth asphyxia,
both of which require
immediate resuscitation of
Grimace None Slight Good the baby.
Activity (tone) Limp Some Spontaneou
flexion/ s
movement movements/
active
Respiratory None Weak or Good/vigors
effort slow/gaspin cry
g
