SCORE
0
1
2
Blue
Body pink
Color
Completely pink
Pale
Extremities blue
Heart Rate
Absent
Less than 100/min
More than 100/min
Weak cry
Good crying
Respiratory Effort
Absent
Irregular breathing
Regular breathing
Active motion
Muscle Tone
Limp
Bending of some limbs
Limbs well-flexed
Grimace and cough
Reflex Irritability
Absent
Grimace
or sneeze
Table 2-1. APGAR scoring system.
7 - 10 points
Baby is in excellent condition
5 - 7 points
Newborn is mildly depressed
Lower than 5 points
Newborn is severely depressed
Table 2-2. Meaning of an APGAR score.
2-16. RESUSCITATION OF A NEWBORN
Follow these steps to resuscitate a newborn.
a. Suction the baby's airway.
b. Lay the baby on its side with its head lower than the body.
c. Snap your index finger against the bottom of its feet. If there is no response,
continue as follows:
(1)
Apply gentle mouth-to-mouth or mouth-to-nose resuscitation.
(2) Continue resuscitation until the baby's breathing starts, then administer
oxygen to the infant.
(3)
Apply cardiopulmonary resuscitation if there is no pulse.
(4) Continue cardiopulmonary resuscitation until the baby breathes or is
pronounced dead.
MD0584
2-17