APGAR Score
Newborn physiological assessment at 1 and 5 minutes post-birth.
Switch how results are explained
Normal score (7–10). Routine post-natal care, drying, warming, and ongoing monitoring.
- Evidence grade
- A
What it is and when to use it
The APGAR score was devised by Dr. Virginia Apgar in 1953 as a rapid, standardized assessment of a newborn's condition immediately after birth. It evaluates five parameters (Appearance, Pulse, Grimace, Activity, Respiration), scored from 0 to 2 each, yielding a total score from 0 to 10.
How to interpret it
Scores of 7 to 10 are considered normal and reassuring. Scores of 4 to 6 indicate moderate physiological depression, prompting tactile stimulation, airway clearing, or oxygen. Scores of 0 to 3 reflect severe depression and warrant immediate resuscitation per Neonatal Resuscitation Program (NRP) protocols.
Limitations and when not to use it
The APGAR score is intended to report post-birth status and response to resuscitation; it should NOT be used to dictate initial resuscitation measures or predict individual long-term neurological outcome.
Frequently asked questions
- When is the APGAR score calculated?
- It is routinely performed at 1 minute and 5 minutes after birth. If the 5-minute score is under 7, additional assessments may be performed every 5 minutes up to 20 minutes.
- Does a low APGAR score mean my baby will have long-term health issues?
- Not necessarily. Most infants with low 1-minute APGAR scores respond rapidly to medical assistance and score normally by 5 or 10 minutes.
Formulas and cut-offs are from the original authors of each score; see the references.
Last reviewed: June 2026
References
- Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg. 1953;32(4):260-267. PMID:13083014