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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.
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An infant with severe perinatal asphyxia usually has poor color , perfusion, responsiveness, muscle tone, and respiratory effort, as reflected in a low 5 minute Apgar score. Extreme degrees of asphyxia can cause cardiac arrest and death. If resuscitation is successful, the infant is usually transferred to a neonatal intensive care unit.
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]
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Low Apgar scores, need for resuscitation at birth, and perinatal distress place the neonate at greater risk for seizures [45]". For all infants with neonatal seizures regardless of cause, the rate of subsequent seizures during childhood is estimated between 10 and 20%. [ 46 ]
At birth, the baby receives an Apgar score at, at the least, one minute and five minutes of age. [23] This is a score out of 10 that assesses the baby on five different areas—each worth between 0 and 2 points. These areas are: colour, respiratory effort, tone, heart rate, and response to stimuli. [24]
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