![]() ![]() Zhu T, Tang J, Zhao F, Qu Y and Mu D (2015) ‘Association between maternal obesity and offspring Apgar score or cord pH: a systematic review and meta-analysis’, Scientific Reports, 5:18386, doi:10.1038/srep18386. Straube S, Voigt M, Jorch G, Hallier E, Briese V and Borchardt U (2010) ‘Investigation of the association of Apgar score with maternal socio-economics and biological factors: an analysis of German perinatal statistics’, Archives of Gynaecology and Obstetrics, 282(2):135–141, doi:10.1007/s0040-7. The Apgar test helps healthcare providers quickly determine whether your newborn might need additional medical assistance. Li F, Wu T, Lei X, Zhang H, Mao M and Zhang J (2013) ‘The Apgar score and infant mortality’, PLOS One, 8(7):e69072, doi:10.1371/journal.pone.0069072. What does it mean if my baby has a low Apgar score What causes a low Apgar score What is the Apgar score It's a simple, numerical assessment that rates how a baby is doing at birth. Kharkova O, Grjibovski A, Krettek A, Nieboer E and Odland J (2017) ‘Effect of smoking behaviour before and during pregnancy on selected birth outcomes among singleton full-term pregnancy: A Murmask country birth registry study’, International Journal of Environmental Research and Public Health, 14(8):867, doi:10.3390/ijerph14080867. 2015).ĪIHW (Australian Institute of Health and Welfare) (2023) Australia’s mothers and babies, AIHW, Australian Government, accessed 29 June 2023. Maternal factors such as increased maternal age, obesity, maternal morbidity, especially diabetes, and maternal smoking during pregnancy, may contribute to a baby being born with a low Apgar score (Kharkova et al. Low birthweight babies, pre-term babies and babies with a breech presentation accounted for a higher proportion of all liveborn babies born with Apgar scores less than 7 in 2021 (AIHW 2023). The adjusted hazard ratios for epilepsy among children with 10 minute Apgar scores in the 0-3 range had wide 95 confidence intervals because of small numbers of children in these categories. ![]() Babies with an Apgar score of less than 7 at 5 minutes have an increased likelihood of requiring resuscitation and admission to the special care nursery or neonatal intensive care unit. Low Apgar scores were more strongly associated with epilepsy at 10 minutes than at five minutes. An Apgar score of 7 or more at 5 minutes after birth indicates the baby is adapting well to the environment, while a score of less than 7 indicates an increased risk of complications for the baby (AIHW 2023).Īpgar scores at 5 minutes of less than 7 are not specific to any condition and may reflect congenital anomaly, prematurity, perinatal infection, effects of drugs given to the mother for pain relief or anaesthesia, ineffective resuscitation or prolonged hypoxia before birth (Li et al. Each characteristic is given between 0 and 2 points, with a total score between 0 and 10 points. An Apgar score is based on five characteristics of the baby: skin colour, pulse, breathing, muscle tone and reflex irritability. ![]()
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