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APGAR


Results and Values

What do the test results mean?

The 1-minute APGAR score tells how well the newborn did during labor and the birth process, for either vaginal or cesarean birth. The 5-minute APGAR score tells how well the newborn adapts to the environment outside the mother's womb. A score of 8 to 10 is ideal, indicating a healthy, vigorous infant. A score of 10 is very rare as most babies' color is a bit blue right after birth, because of the stress of the birth. Any score less than 7 at the 5-minute check indicates that the newborn may need some help in adjusting to the environment. This may include:

  • continued monitoring and observation in the nursery
  • continued heart rate monitoring (EKG)
  • IV fluids
  • glucose feedings
  • antibiotics
  • blood testing
  • These infants tend to have lower APGAR scores and possible problems:

  • premature infants
  • multiple birth babies, such as twins or triplets
  • infants with intrauterine growth retardation
  • newborns deprived of oxygen for a long time during labor

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