A baby is born. Pediatrician receives the delivery, fetal bradycardia with maternal hypertension was the scenario. Baby is efficiently resuscitated. By the time everything is settled its around 7-8 minutes of babies life. In such a rush scenario, APGAR now has to be awarded retrospectively. A skilled pediatrician or neonatologist can do good but still it has a drawback.
The Apgar scoring system was intended as an evaluative measure of a newborn’s condition at birth and of the need for immediate attention.
We often use mnemonic form APGAR, for our convenience. But in fact the mnemonic does not represent the initials for true parameters we use for evaluation.
Example Pulse is not used in newborn for assessment, instead Heart rate is used, but P in APGAR stands for pulse rate.
The real parameters are given Below-
1.Despite the advent of modern technology, the Apgar score remains the best tool for the identification of newly born infants in need for cardiopulmonary resuscitation.
2. Data suggest that serial Apgar ratings in infants with early low scores detect clinically important recovery of lack thereof.
The Apgar scoring system was intended as an evaluative measure of a newborn’s condition at birth and of the need for immediate attention. In the most recent past, individuals have unsuccessfully attempted to link Apgar scores with long-term developmental outcomes. This practice is not appropriate, as the Apgar score is currently defined. Expectant parents need to be aware of the limitations of the Apgar score and its appropriate uses