Question

Research and discuss an Apgar Score

just a paragraph

Answer 1

Ans) The Apgar scoring system has been conceptualized as a cycle, linked to cardio respiratory reflexes and metabolically supported by oxygenation. Resuscitative measures are correlated with asphyxia severity. Aim: To compare five components(heart rate, breathing, color, tone, reflexes) of Apgar scores with only two components (heart rate and breathing) at 1 min in terms of resuscitative measures (oxygen, PPV, endotracheal intubation, chest compression, drugs) done in the delivery room. Methods: Each component of Apgar score is assigned as minimum score of zero to maximum score of 2 making a total score of 0-10 in five components and 0-4 in two components of Apgar scores; recorded at one minute. Babies who required PPV, chest compression and drugs were recorded. Results: 1999 babies were enrolled in the study.Mean weight and gestational age was 2800 g (SD=0.395) and 38 weeks (SD=0.230) respectively. Almost all babies with score of ≤6 in Apgar score (five components) and score of ≤ 3 in Apgar score (2 component) received Positive Pressure ventilation within 1 minute. Score of ≤ 3 in Apgar score (five components) and score of 1 if we consider only two components, received chest compression and epinephrine. Conclusion Apgar score (five components) and two component Apgar score are almost parallel to each other in terms of resuscitative measures. So only two components (HR & RR) are as good as five components of Apgar. We studied large number of articles on Apgar scores on Medline search, Pubmed. There was no previous studies on two component Apgar scores. We compare five component Apgar scores with two component score as newer NRP guidelines are based on initial.