APGAR Scoring for Newborn

Indicator	O Points	1 Point	2 Points
Appearance (Skin color)	Pallor or cyanosis	Body skin normal, extremities blue	Body and extremity skin color normal
Pulse (Heart rate)	Absent	Less than 100 bpm	More than 100 bpm
Grimace (Reflex irritability	No response	Minimal response to suction or to gentle slap on soles	Responds promptly with a cry or active movement
Activity (Muscle tone)	Flaccid, limp	Minimal flexion of extremities	Good flexion, active motion
Respiratory Rate	Absent	Slow, irregular, weak cry	Good, vigorous cry

Score                     Intervention
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8-10                      No intervention is required except to support the infant’s spontaneous efforts

4-7                         Gently stimulate. Rub infant’s back

0-3                         Infant requires resuscitation