Necessity and value of evaluation of a newborn baby on the Apgar scale.
Contents of
- Evaluation of the state of a newborn on the Apgar scale: norms and criteria
- What does the Apgar score 0 mean?
- What does grade 1 on Apgar scale mean?
- What does grade 2 on Apgar scale mean?
- What does grade 3 on Apgar scale mean?
- What does grade 4 on Apgar scale mean?
- What does grade 5 on Apgar scale mean?
- What does grade 6 on Apgar scale mean?
- What does grade 7 on the Apgar scale mean?
- What does Evaluation 8 mean on the scale of an agar?
- What does 9 on the Apgar scale mean?
- What does grade 10 on the Apgar scale mean?
- Video: Scale Apgar. What is this scale?
Evaluations, comparisons, comparisons, studies and conclusions are present in the life of every person since the moment of conception
- . Nature is in us curiosity and desire to know the world around us. That's why we rely on the experience of our ancestors and our personal
- . So, we can not do without assessments and comparisons. It's bad if this habit turns into slander, jealousy, antagonism towards other people.
- In this article, we'll talk about assessing the state of newborn babies by medical staff at the maternity hospital, as well as on the interpretation of its results.
Assessment of the state of a newborn on the Apgar scale: standards and criteria
Apgar score and value table The Apgar score is a definition of the physical condition of a newborn baby for the purpose of applying / not using emergency medical care: the
- is an artificialventilation
- nursing in special chambers such as in the case of prematurity
- blood transfusion
The options for emergency care only for the born baby are much larger. Because the medical staff of medium qualification is guided by the Apgar assessments for decision-making.
Since 1952, the world scale has adopted a scale for determining the physical health of newborns, developed by the American anesthesiologist Virginia Apgar.
The criteria by which it is applied begin with the letters of the developer's surname:
- Appearance - skin color
- Puls - heart work
- Grimace - mimic contractions
- Activity - muscle activity and tone
- Respiration - respiration, reflex response to irritation
Doctor subjectively exposesscores crumbs in the first and fifth minutes of life outside the womb.
Each criterion can score a maximum of 2 points. In the amount of 10. But the maximum score gets a rare baby. The statistics show that only 10-15% of newborns are awarded such an assessment.
How do doctors put up scores for a newborn child, let's take a closer look.
- Heart work
Normally, the heart muscle contraction in a newborn is more than 100 beats in 60 seconds. This figure gets a deuce.
If the pulse is diagnosed at 100 beats per minute - 1 point.
When the heart rate is less and the pulse has a lower rhythm, the doctors put 0 and urgently connect the baby's oxygen mask to activate the heart muscle - Skin color
The smooth pink skin tone of the newborn is a sign of good health and successful course of labor. It is estimated at 2 points. Note that children after cesarean section often receive it, because they do not pass through the birth canal and do not succumb to any pressure.
Elements of cyanotic shade and skin transparency, when capillary nets are observed, as well as bluish hands and feet brushes receive a unit.
If in general the color of the skin is more blue than pink, this is 0 and urgent hospitalization of the crumbs in the chamber for medical nursing - . Breathing in newborn babies is quite frequent according to medical standards and amounts to 45 exercises in 60 seconds. In this case, the baby gets two points on the Apgar scale, and the doctor proceeds to study the heart rhythm of
. If the breathing has a lower rhythm, then sit a unit and help the child breathe through the installation of oxygen supply equipment.
When the breath is completely absent, physicians immediately connect the device for artificial ventilation of the baby - Muscle tone with a score of two points is the physiological strain of flexor muscles in the newborn, which is due to his posture in the womb. Because the maximum score gets a crumb that lies completely grouped with the pins and legs pressed to the body
- Attempts of the doctor to unbend the handles and legs, elbows and knees to the child meet a weak resistance from the latter - it means the unit will be exposed. Absence of a tonus in a crumb means 0 points and an occasion to beat a serious alarm.
- . Mimicry and reflexes.
. Virtually all movements of a baby that was only born have a reflex nature. It can even be put on a hard surface and, holding it under your armpits, you will see little shots. The situation is similar with crawling. If you put your hands under his heels, when the baby lies on the tummy, then he will push off from your hands and crawl. The loud scream and facial expressions are also bright in the crumbs, who were given the maximum Apgar score by this criterion.
A weaker manifestation of reflexes in a child, instead of screaming - moaning, mean a unit, and their total absence is zero points and an urgent alarm for doctors to emergency help.
Young parents should not be alarmed because of the first assessment of the physical condition of the newborn in Apgar. Look at the indicators that will be collected by doctors in 5-10 minutes. If the dynamics of growth is observed, then everything is normalized.
What does 0 score on Apgar scale mean?
baby with a low Apgar score in the intensive care camera Zero is the absence of any movements and activity. It can be put only dead tissue, substance, phenomenon, or a very premature baby, which requires urgent medical measures to awaken and maintain life in it.
What does rating 1 mean on the Apgar scale?
- The birth of a baby before the obstetric age is associated with the risk of its adaptation to the new environment
- In the case of oxygen starvation of the fetus during pregnancy and crumbs in the period of labor, very low ratings of his health are expected on the Apgar scale
- The unit indicates that only one of the five criteria is weakshows the baby
Because the latter needs immediate resuscitation measures:
- artificial ventilation
- oxygen mask
- special heating lamp and / or closedcapsule with special temperature conditions
- blood transfusion
- careful and accurate cleansing of the respiratory tract from mucus
What does grade 2 on Apgar scale mean?
newborn is placed in a cuvet and breathes through special tubes This assessment still can not please neither the young mother nor the medical staff of the maternity home.
It is generally accepted that the 0-2 Apgar range indicates serious deviations in the physical health of crumbs. Because the child will be given immediate resuscitation assistance in the hospital.
What does grade 3 on the Apgar scale mean?
Three means that most of the indicators of the physical state of the newborn are manifested. However, while this is not enough, from the delivery room immediately go to the common room with the mother's room to establish contact and adapt the child to life in the air.
What does grade 4 on the Apgar scale mean?
The score range 3-4 is a signal of the presence of deviations of the average degree of complexity in the health of the newborn. Therefore, without resuscitation, it will not work until it is achieved, as well as without specific measures for caring for the baby after discharge.
What does grade 5 on Apgar scale mean?
a kid with an average Apgar score on artificial ventilation of the lung - Border health status in a newborn baby is rated 5
- Physicians on the situation decide on further care for a crumb because all the Apgar scores received low scores
- If this score is exposed to a crumb at 6-th minute of life, then
can not do without nursing in a cuvse What does the Apgar score 6 mean?
Six says that the physical condition of the crumbs is satisfactory.
In general, 5-6 on the Apgar scale - it's easy deviations in the health of the baby and means that he needs only some reanimation measures.
If there is a growth rate in 5 minutes at 2-5 units, young parents may not worry about their child. It adapts well to the external air environment.
What does grade 7 on the Apgar scale mean?
doctor examines a newly born baby for rating on Apgar Among doctors, it is widely believed that the range of Apgar scores of 7-10 points can be considered the norm, an indicator of good health of the child and the safe passage of pregnancy and childbirth.
What does Evaluation 8 mean on the scale of the Apgar?
The most common score, reflecting the good physical condition of the newborn both in the first and fifth minutes of life outside the body of the mother.
Eight indicates that all five features are manifested, but some are less pronounced, for example, the first cry was quiet and the color of the skin in places has a bluish tint.
What does 9 on the Apgar scale mean?
Very good overall score of the state of the physical processes of only the born of a crumb or after the first 5-10 minutes of his independent life.
Nine talks about the harmonious work of the basic systems and reflexes of the baby, adjusted for a specific indicator, which the doctor visually assessed a little lower.
What does grade 10 on the Apgar scale mean?
the first examination and evaluation of Apgar active newborn baby - Maximal score on Apgar doctors exhibit rarely Completion of the newborn baby, especially in the first minute of life outside the womb of the mother
- If your baby got it, then his physical health can be equated to heroic. And the history of his birth is cited as a reference sample of the birth of an absolutely healthy child.
- . Whatever your doctors estimate at your maternity hospital, know that your love, care, attention and faith in the protection and help of the Higher Powers can create any miracle
Happiness to youand your kids!