Apgar Score Calculator
Calculate the Apgar score for newborn assessment at 1, 5, and 10 minutes after birth based on five clinical criteria.
Results
What is it?
DISCLAIMER: For educational and reference purposes only. All clinical decisions must be made by qualified healthcare professionals. The Apgar score, developed by Dr. Virginia Apgar in 1952, is a rapid neonatal assessment performed at 1, 5, and (if needed) 10 minutes after birth. Five criteria are assessed (Appearance, Pulse, Grimace, Activity, Respiration), each scored 0-2, for a maximum of 10. Score interpretation: 7-10 = Normal (reassuring); 4-6 = Concern (moderate depression, may need stimulation); 0-3 = Critical (severe depression, immediate resuscitation required). The 1-minute score reflects the immediate transition to extrauterine life; the 5-minute score is more prognostically significant.
How to use
Select the appropriate descriptor for each of the five Apgar criteria based on direct clinical observation. The score is summed automatically. Repeat assessment at 5 and 10 minutes post-delivery as needed. The score should be recorded in the birth notes.
Example scenario
A term infant at 1 minute: body pink but blue hands (Appearance=1), heart rate 110 bpm (Pulse=2), grimaces to suction (Grimace=1), some flexion (Activity=1), crying well (Respiration=2). Total = 7 — borderline normal, repeat at 5 minutes. At 5 minutes the score improves to 9 — reassuring.
Pro tip
The Apgar score is not a reliable predictor of individual neurological outcome or long-term prognosis. A low 1-minute score is common in normal deliveries after interventions. Always combine Apgar scoring with clinical assessment and senior review. In premature infants, lower scores are expected and should be interpreted in the context of gestational age.