APGAR Score Calculator

Quantify neonatal cardiopulmonary adaptation at 1, 5, and 10 minutes of life, aligned with Canadian Paediatric Society and NRP guidelines.

Assessment Time:

Presets:

AAppearance (Skin Color)

Oxygenation and peripheral perfusion

+1 pts

PPulse (Heart Rate)

Most critical single prognostic indicator

+2 pts

GGrimace (Reflex Irritability)

Response to tactile stimulation or suction

+2 pts

AActivity (Muscle Tone)

Flexion and resistance to limb extension

+2 pts

RRespiration (Breathing Effort)

Effective chest expansion and cry

+2 pts

1-Minute APGAR ScoreNormal Transition (7-10)

9/ 10

0-3 Critical4-6 Moderate7-10 Normal

Score of 9/10 at 1 minute(s). Confirms excellent physiological cardiopulmonary transition. 1-minute scores of 8 or 9 are typical (points almost universally deducted for benign acrocyanosis).

NRP Resuscitation Protocol

•Keep infant skin-to-skin directly on mother's bare chest under warm dry blankets.

•Support delayed cord clamping (>= 60 seconds) if not already completed.

•Initiate first breast crawl and lactation latch within the first hour of life.

•Conduct routine newborn exam and vitals monitoring q15min for the first hour.

Clinical Pearl: Virginia Apgar

The APGAR score is an index of physiological depression at a single point in time. It was NEVER intended to determine when resuscitation begins (which must occur within the first 60 seconds) nor to predict long-term neurological outcome.

View Neonatal Resuscitation (NRP) Protocol