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Community Programs. California Kids Care. International Services. Video Visits: Telemedicine. Locations Main Campus. Satellite Locations. Emergency Care. Urgent Care. Safe Sleep Practices. Pay Your Bill. At 5 minutes after birth, the test is given again. If a baby's score was low at first and hasn't improved, or there are other concerns, the doctors and nurses will continue any necessary medical care. The baby will be monitored closely.
Many babies with low scores are perfectly healthy and do just fine after adjusting to life outside the womb. If your doctor or midwife is concerned about your baby's score, he or she will let you know and will explain how your baby is doing, what might be causing problems if any , and what care is being given. This test was not designed to predict a baby's long-term health, behavior, intelligence, personality, or outcome.
It was designed to help health care providers tell a newborn's overall physical condition so that they could quickly decide whether the baby needed immediate medical care. With time to adjust to the new environment and with any necessary medical care, most babies do very well.
So rather than focusing on a number, just enjoy your new baby! A score of 2 would mean the baby sneezes, coughs, gags or vigorously cries with little or no stimulation. A score of 0 indicates no response, while a score of 1 means the baby grimaces with stimulation. If a baby is able to breathe easily and cry, his score would be a 2. A baby who has slow or irregular breathing would receive a score of 1. A baby who is showing no respiratory breathing effort would receive a 0 score.
The doctors score at one minute and five minutes after birth. A total score of 7 and above is considered generally healthy. A score between 4 and 6 is considered low. A score below 3 is hazardously low and requires significant and immediate medical care. As new parents, it can be easy to become overwhelmed at the idea of your child not scoring well. However, a low 5-minute Apgar score clearly confers an increased relative risk of cerebral palsy, reported to be as high as to fold over that of infants with a 5-minute Apgar score of 7 to While the initial score may not predict long-term outcomes, the AAP does indicate that a low 5-minute APGAR score may denote increased risk of cerebral palsy.
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