Free tool · Scored assessment · Newborn
APGAR Score Calculator.
The quick newborn assessment done at 1 and 5 minutes after birth — Appearance, Pulse, Grimace, Activity, Respiration, each scored 0–2 for a total out of 10. Pick the findings and get the total with the AAP/ACOG interpretation and the timing rules. It describes the baby's condition and response to resuscitation — but per AAP/ACOG it does not guide whether to resuscitate and does not predict an individual baby's long-term outcome.
1-minute score — a snapshot of the transition right after birth.
Score all five components to see the total.
Scoring & interpretation [2]
| Component | 0 | 1 | 2 |
|---|---|---|---|
| Appearance (color) | Blue / pale all over | Body pink, extremities blue | Pink all over |
| Pulse (heart rate) | Absent | <100/min | ≥100/min |
| Grimace (reflex) | No response | Grimace / weak cry | Cry, cough, sneeze, pulls away |
| Activity (tone) | Limp | Some flexion | Active motion, well flexed |
| Respiration | Absent | Slow / irregular / weak cry | Good, strong cry |
Total 0–10. Scored at 1 and 5 minutes, then every 5 minutes up to 20 minutes for any infant scoring <7 at 5 minutes. A 5-minute score of 7–10 is reassuring, 4–6 moderately abnormal, and 0–3 low.[2] Document concurrent resuscitation on an expanded Apgar form, since interventions (oxygen, PPV, CPAP) affect the score.[2] Mnemonic: A-P-G-A-R.
References
- Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg. 1953;32(4):260–267. PMID: 13083014. (Original five-sign newborn scoring method.)
- American Academy of Pediatrics Committee on Fetus and Newborn; American College of Obstetricians and Gynecologists Committee on Obstetric Practice. The Apgar Score. Pediatrics / ACOG Committee Opinion. acog.org. (Components & 0–2 scoring; reported at 1 and 5 min, then q5 min to 20 min if <7; 5-min interpretation 7–10 reassuring / 4–6 moderately abnormal / 0–3 low; expanded reporting form; not for predicting individual outcome or directing resuscitation.)
- APGAR Score. StatPearls. Treasure Island (FL): StatPearls Publishing. ncbi.nlm.nih.gov/books/NBK470569. (Component bands and timing summary.)
Components, bands, timing, and the AAP/ACOG caveats were transcribed from these sources. Your facility's newborn and resuscitation policies take precedence at the bedside.