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Why is the Apgar test important

Why is the Apgar test important



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One of the great expectations that mothers have during pregnancy and childbirth is if their baby is in good health and to check it as soon as it is born, the newborn's Apgar test is performed.

Sometimes the worry is so great that they ignore and forget the discomfort of childbirth. When the baby is born, they look at him with the eyes of a 'giant', and they fixate on the knowing glances between the doctor and the nurses while they perform the Apgar test on their baby.

The Apgar test is a decisive test after birth of the baby because, through it, you can know the health status of the little one. Through this test the heart rate, respiratory effort, muscle tone, reflex irritability, color of the baby are evaluated, and for each aspect the medical team will give a score from 0 to 2. If a baby has the five parameters normal, he will get 10, which means that the little one is in good health. An Apgar between 7 and 9 is acceptable, one between 5 and 7 will be decreased, and if the result is less than 5 it is considered severely decreased, so the doctors will immediately assist the child, looking for the causes.

After a few minutes, they repeat the test again. If the baby reaches a score of 8 in the second test, it means that despite having been born badly, the baby was revived and will not suffer consequences. But if, on the contrary, the baby continues with a decreased score, it may mean that he lacked oxygen so severely that he is at risk of neurological sequelae.

1. Baby's heart rate, placing two fingers on the umbilical cord that continues pulsating, or listening to his heart. If it has more than 100 beats per minute, the score is 2, if it has less than 80 or 100 per minute, it gets 1, and if it has no heart rate, its value is 0.

2. The baby's respiratory effort, intensely observing the movements of your chest when inhaling and exhaling. If it is normal, a 2, if it is weak, it is scored 1, and if it is in respiratory arrest, a 0.

3. Baby's muscle tone, observing the tension and vigor of his muscles. If he flexes and defends himself against a tactile stimulus, a 2, if he presents weakness and flaccidity, 1, if there is no tone, 0.

4. Reflex irritability of the baby, assessing the response that the baby gives to the suction that they make of the secretions that are in his nose and mouth. If the baby defends himself, turns his face away and closes his mouth, he gets a 2, if he gestures and moves weakly, a 1, and if he does not defend himself in any way, a 0.

5. Baby's color, from his lips and limbs. If they are pink, a 2. If only the feet and hands are blue, 1. And if the mouth and extremities are bluish, 0. The Apgar results are reported to the parents, right away.

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Video: APGAR Score: Newborn Nursing Assessment 2018 (August 2022).