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The Apgar score is a quick way for health professionals to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. [1] It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar , to address the need for a standardized way to evaluate infants shortly after birth.
Virginia Apgar (June 7, 1909 – August 7, 1974) was an American physician, [1] [2] obstetrical anesthesiologist [3] and medical researcher, [4] best known as the inventor of the Apgar score, a way to quickly assess the health of a newborn child immediately after birth in order to combat infant mortality. [5]
Apgar scoring is performed one minute and five minutes after birth. Scoring ranges from 0 to 10, with 0 indicating severe neonatal distress and 10 indicating a smooth transition to extrauterine life. [1] Newborns transitioning into extrauterine life will undergo periods of reactivity. These periods are divided into three stages.
Teaneck's Virginia Apgar evaluates a newborn in a 1966 photo by Al Ravenna of the World Journal Tribune. At the time, the standards for assessment were inadequate, Apgar once said. Newborns were ...
A score of 7–10 at 5 minutes is normal, a score of 4 to 6 at 5 minutes is intermediate, and a score of 0-3 is considered low. It is important to understand that an Apgar score is not a diagnosis, it is merely a clinical finding. [9] If a newborns score is 0–3, then resuscitation efforts are initiated. Apgar score for newborn infants
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In 1952, the anesthesiologist Dr. Virginia Apgar developed the Apgar score, used for standardized assessment of infants immediately upon delivery, to guide further steps in resuscitation if necessary. [7] The first dedicated neonatal intensive care unit (NICU) was established at Yale-Newhaven Hospital in Connecticut in 1965. [8]