From the first moment of life of the newborn, the midwife, or the gynecologist, will assess, clinically, the health status of the infant. This evaluation is done by what is called the Apgar score. This score was developed in 1952 by the American anesthetist Virginia Apgar. It helps to estimate the vitality of the child.
First examination of the newborn
In the first minute after birth, then at 5 minutes of life, the midwife or gynecologist performs the Apgar score which assesses the newborn's adaptation to ectopic life.
Heartbeat ; breathing; Muscle tone ; responsiveness to stimulation and staining of the newborn: each of these elements is noted from 0 to 2 according to a given grid.
The ideal score is 10/10: the child has a heart rate greater than 100, his breathing is normal and effective, his 4 limbs are folded over his body, the baby screamed, and his skin is pink .
Normal score: between 7 and 10. The Apgar score does not necessarily reach 10/10 ... that's not why we need to worry. The body of the newborn is pink, but the extremities (feet and hands) are often blue (cyanotic), because the first cry was a little wait, because of the congestion of the respiratory mucous membranes.
A score of 3 to 7 indicates that the child has suffered more or less during childbirth. Care will be practiced: aspiration of phlegm, ventilation ... and if necessary, resuscitation actions are performed, with specific care.