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What Does the Apgar Scale Measure?
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What Does the Apgar Scale Measure?

In 1952, Virginia Apgar, a surgeon and anesthesiologist, developed a newborn infant assessment scale that is still used worldwide today. Why is it necessary, and what role do these indicators play in a baby's life?

Dr. Helene
Article author

Dr. Helene

obstetrician-gynecologist

First Assessment

APGAR is not just the doctor's last name, but also an abbreviation for five groups of vital signs.

A (Appearance) external:

  • 0 point: infant's skin is blue
  • 1 point: infant's face and body pink, limbs pale or blue
  • 2 points: all skin is pink

P (Pulse) pulse:

  • 0 point: no pulse
  • 1 point: pulse below 100 bpm
  • 2 points: pulse above 100 bpm

G (Gramse response) reflexes:

  • 0 point: no response
  • 1 point: newborn has sluggish facial expressions and makes weak sounds
  • 2 points: newborn screams and cries

A2 (Activity) activity:

  • 0 point: baby's limbs are passively hanging down
  • 1 point: baby's limbs are weakly moving
  • 2 points: baby is actively moving his or her arms and legs

R (Respiration) breathing:

  • 0 points: no breathing
  • 1 point: breat...

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October 28, 2025
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