The Apgar Score

Authors:
  • APAmerican Academy Of Pediatrics
    American Academy Of Pediatrics
  • CNCommittee on Fetus and Newborn
    Committee on Fetus and Newborn
  • AGAmerican College of Obstetricians and Gynecologists
    American College of Obstetricians and Gynecologists
  • CPCommittee on Obstetric Practice
    Committee on Obstetric Practice
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Abstract
The Apgar score provides a convenient shorthand for reporting the status of the newborn infant and the response to resuscitation. The Apgar score has been used inappropriately to predict specific neurologic outcome in the term infant. There are no consistent data on the significance of the Apgar score in preterm infants. The Apgar score has limitations, and it is inappropriate to use it alone to establish the diagnosis of asphyxia. An Apgar score assigned during resuscitation is not equivalent to a score assigned to a spontaneously breathing infant. An expanded Apgar score reporting form will account for concurrent resuscitative interventions and provide information to improve systems of perinatal and neonatal care.

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