The need and importance of evaluating the newborn baby on the Apgar scale.
Content
- Ap bar assessment of the state of the newborn on the scale: norms and criteria
- What does estimate 0 on the Apgar scale mean?
- What does assessment 1 on the Apgar scale mean?
- What does assessment 2 on the Apgar scale mean?
- What does assess 3 on the Apgar scale mean?
- What does assessment 4 on the Apgar scale mean?
- What does assessment 5 on the Apgar scale mean?
- What does assessment 6 on the Apgar scale mean?
- What does assessment 7 on the Apgar scale mean?
- What does the rating 8 on the Apgar scale mean?
- What does assessment 9 mean on the Apgar scale?
- What does the assessment of 10 on the Apgar scale mean?
- Video: Apgar scale. What is this scale?
Assessments, comparisons, comparisons, study and conclusions are present in the life of every person from the moment of conception
- Nature laid in us curiosity and the desire to know the world around us. Therefore, we rely on the experience of ancestors and our personal
- This means that you can not do without assessments and comparisons. It is bad if this habit develops into slander, envy, antagonism in relation to other people
- In this article, we will talk about assessing the state of the newborn baby with medical staff in the hospital, as well as the interpretation of its results
Ap bar assessment of the state of the newborn on the scale: norms and criteria
Apgar rating is a definition of the physical condition of a newborn baby in order to use/not to use urgent medical care:
- artificial ventilation of the lungs
- nursing in special cameras as, for example, in the case prematurity
- blood transfusion
There are much more options for emergency assistance to only born crumbs. Therefore, the medical personnel of the average qualification are focused on the assets for APgar for decision -making.
Since 1952, in world practice, a scale was adopted to determine the physical health of newborns, developed by the American anesthetist Virginia Apgar.
The criteria according to which it is used begin with the letters of the developer's surname:
- Appe their cover the color of the skin
- Rlus - heart work
- Grimace - facial abbreviations
- Activity - muscle activity and tone
- Respiration - breathing, reflex response to irritation
The doctor subjectively sets scores for the baby in the first and fifth minutes of his life outside the womb.
Each criterion can score a maximum of 2 points. In total it will turn out 10. But the maximum score receives a rare baby. Statistics data say that only 10-15% of newborns receive such an estimate.
How doctors set points only to a born child, we will consider more details.
- Heart work
Normally, the contraction of the heart muscle in the newborn is more than 100 strokes in 60 seconds. Such an indicator receives a deuce.
If the pulse is diagnosed at 100 beats per minute - 1 point.
Когда работа сердца меньше и пульс имеет меньший ритм, врачи ставят 0 и экстренно подключают ребенку кислородную маску для активизации работы сердечной мышцы - The color of the skin
A flat pink skin tone in a newborn is a sign of his good health and successful course of labor. It is estimated at 2 points. Note that children after cesarean section more often receive it, since they do not go through the birth canal and do not succumb to any pressure.
Elements of a cyanotic shade and transparency of the skin, when capillary nets are observed, as well as bluish handles and foot brushes receive a unit.
If, in general, the color of the skin is more blue than pink, it is 0 and urgent hospitalization of the crumbs in the chamber for medical nursing - Breathing in the newborn crumbs is quite frequent in medical standards and amounts to up to 45 exercises in 60 seconds. In this case, the baby receives two points on the Apgar scale, and the doctor begins to study the heart rhythm
If breathing has a smaller rhythm, sipped, then put a unit and help the child breathe through the installation of oxygen supply equipment.
When breathing is completely absent, doctors urgently connect the apparatus of artificial ventilation of the baby's lungs - Muscular tone with an estimate of two points - this is the physiological tension of the flexor muscles in a newborn, which is due to his pose in the womb. Therefore, the maximum assessment is received by the baby, which lies completely grouped with pressed handles and legs to the body
- The doctor’s attempts to straighten the pens and legs, elbows and knees to the child meet weak resistance from the latter - it means a unit will be exhibited. The lack of tone of the crumbs means 0 points and the reason to beat serious anxiety
- Facial expressions and reflexes
Almost all movements of the baby that was only born have a reflex nature. It can even be put on a hard surface and, holding under the armpits, see steps. Similarly, the situation is crawling. If you substitute your palms under its heels when the baby lies on the tummy, then he will push off from your hands and crawl. A loud scream and facial expressions are also bright at the crumbs, which was set by the maximum score on the Apgar scale according to this criterion.
A weaker manifestation of reflexes in a child, instead of a scream - a moan, means a unit, and their complete absence is zero points and urgent alarm to doctors to emergency care.
Young parents should not sound the alarm due to the first assessment of the physical condition of the newborn by Apgar. Look at the indicators that will be collected by doctors in 5-10 minutes. If there is a growth dynamics, then everything is normalized.
What does estimate 0 on the Apgar scale mean?
Zero is the absence of any movements and activity. It can only be delivered by dead fabric, the essence, phenomenon or a very incredulous child who requires urgent medical measures to awaken and maintain life in it.
What does assessment 1 on the Apgar scale mean?
- The birth of a baby before the obstetric period is associated with the risk of his adaptation to the new environment
- In the case of oxygen starvation of the fetus during pregnancy and crumbs during the birth activity, very low assessments of his health on the Apgar scale are expected
- The unit indicates that only one of the five criteria manifests itself in the baby
Therefore, the latter needs immediate resuscitation measures:
- artificial ventilation of the lungs
- oxygen mask
- a special warming lamp and/or a closed capsule with special temperature conditions
- blood transfusion
- thorough and neat purification of the respiratory tract from mucus
What does assessment 2 on the Apgar scale mean?
This assessment still cannot delight either the young mother or the medical staff of the hospital.
It is generally accepted that the 0-2 range on the Apgar scale indicates the serious deviations of the physical health of the crumbs. Therefore, the child will be given immediate resuscitation assistance in the hospital.
What does assess 3 on the Apgar scale mean?
The three means that most of the indicators of the physical condition of the newborn are manifested. However, so far this is not enough to immediately go from the maternity room to the chamber common to establish contact and adapt the child to life in the air.
What does assessment 4 on the Apgar scale mean?
3-4 points range are a signal for deviations of medium-sized complexity in the health of the newborn. Therefore, without resuscitation, it will not work yet, as without specific measures to care for the baby after discharge.
What does assessment 5 on the Apgar scale mean?
- The border state of health in a newborn baby receives an assessment of 5
- In the situation, doctors decide on the further care of the tiny, since all indicators on the Apgar scale received low points
- If this assessment is put up in the 6th minute of life, then you can not do without nursing in Kuves
What does assessment 6 on the Apgar scale mean?
The six says that the physical condition of the crumbs is satisfactory.
In general, 5-6 on the Apgar scale is easy deviations in the baby’s health and therefore he needs only some resuscitation measures.
If there is a dynamics of points in 5 minutes by 2-5 units, young parents may not worry about their child. It adapts well to the external air.
What does assessment 7 on the Apgar scale mean?
Among doctors, the opinion is that the range of assessments on the Apgar scale of 7-10 points can be considered the norm, an indicator of the child’s good health and a successful course of pregnancy and childbirth.
What does the rating 8 on the Apgar scale mean?
The most common score, reflecting the good physical condition of the newborn in both the first and fifth minutes of life outside the body of the mother.
Eight means that all five signs have been manifested, but some of them are less pronounced, for example, the first cry was quiet and the color of the skin has a bluish tint in places.
What does assessment 9 mean on the Apgar scale?
A very good total state of physical processes of only born crumbs or after the first 5-10 minutes of his independent life.
Nine speaks of the coordinated work of the main systems and reflexes of the baby with amendment to a specific indicator, which the doctor visually appreciated a little lower.
What does the assessment of 10 on the Apgar scale mean?
- Doctors rarely expose the maximum score on Apgar a newborn baby, especially in the first minute of life outside the womb of his mother
- If your baby has received it, then his physical health can be equated with Bogatyrsky. And the history of its birth is brought into the light as a reference model of the birth of an absolutely healthy child
- Whatever assessment doctors to your baby in the hospital, know that your love, care, attention and faith in defense and help of higher powers are able to create any miracle
Happiness to you and your children!
Video: Apgar scale. What is this scale?
