TY - CHAP M1 - Book, Section TI - Apgar Score/Expanded Apgar Score A1 - Gomella, Tricia Lacy A1 - Eyal, Fabien G. A1 - Bany-Mohammed, Fayez PY - 2020 T2 - Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e AB - The original Apgar score was devised by Virginia Apgar, MD, an anesthesiologist, in 1952 who invented a scoring system to assess the clinical status of the newborn infant and the need for medical intervention to establish breathing at 1 minute of age. It was presented at a national anesthesiology meeting in 1952. She published the results in 1953 in a paper titled, “A Proposal for a New Method of Evaluation of the Newborn Infant,” the purpose of which was to establish a grading system of newborns to be used as a basis to discuss and compare results of obstetric practices, different types of maternal pain relief, and the effects of resuscitation techniques. It was “a simple clear classification or grading of newborns consisting of five signs” that did not require special equipment, were determined easily, did not interfere with the care of the newborn, and could be taught without difficulty. She chose heart rate, respiratory effort, reflex irritability, muscle tone, and color. The most important sign was the heart rate, followed by respiratory rate, and the least important sign was the color of the newborn. A rating of 0, 1, or 2 was given for each sign at 60 seconds after delivery (after the complete birth of the baby and the time of maximal clinical depression after birth). Two subsequent studies were done (1952–1956 and 1959–1966), and the 5-minute Apgar score was added because neonatal mortality strongly correlated with it. In 1962, a “back acronym” (APGAR) was created from Dr. Apgar’s last name by 2 pediatricians to help teach the 5 signs of the Apgar score: A: appearance (color); P: pulse; G: grimace (response to stimulation); A: activity (tone); R: respiration. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1168355321 ER -