APGAR

APGAR Scores

APGAR is an acronym for:

  • Appearance "color"
  • Pulse "heart rate"
  • Grimace "reflexes"
  • Activity "muscle tone"
  • Respiration

 SIGN 0 1 2
Heart Rate Absent Slow (<100/min) Normal (>100/min)
Respirations Absent Weak Strong (crying)
Muscle Tone Limp Some Flexion Active Motion
Reflexes1 No Response Grimaces Cough or Sneeze
Color All Blue or Pale Extremities Blue No Blue


Score at 1 minute and at 5 minutes.

A score of:

  • 0 - 3 is critical
  • 4 - 6 is depressed
  • 7 - 10 is normal

NOTE: it is very unlikely that a new born will score a 10 at the 1 minute mark.

1 Reflex to a stimulus such as nasal suctioning or rough toweling.