APGAR Score Calculator
Newborn assessment at one and five minutes.
0 blue or pale all over · 1 body pink, extremities blue · 2 pink all over
0 absent · 1 under 100 bpm · 2 100 bpm or above
0 no response · 1 grimace only · 2 cry, cough or sneeze
0 limp · 1 some flexion · 2 active movement
0 absent · 1 slow or irregular · 2 strong cry
APGAR guides immediate care. ACOG explicitly cautions against using it to predict long-term neurological outcome — most infants with a low score develop normally.
APGAR score
10 / 10
Reassuring
A perfect 10 is uncommon in the first minute, since peripheral cyanosis of the hands and feet is normal at that point.
How the APGAR Score Calculator works
Virginia Apgar devised this score in 1952 to give delivery rooms a fast, repeatable way to identify newborns needing help. It is assessed at one and five minutes, and the change between the two is often more informative than either figure alone.
Sources
Not medical advice. This calculator gives a general estimate, not medical advice. It cannot account for your individual health, medical history, or medication. Talk to a qualified healthcare professional before acting on any result.
Frequently asked questions
What do the five APGAR components stand for?
Appearance (skin colour), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone) and Respiration (breathing effort). Each scores 0, 1 or 2, giving a total out of 10. The backronym came later; the score is named after Dr Apgar herself.
What is a normal APGAR score?
7 to 10 is reassuring. 4 to 6 is moderately low and usually prompts intervention such as stimulation or supplemental oxygen. 0 to 3 requires immediate resuscitation. A perfect 10 is uncommon, since peripheral cyanosis of the hands and feet is normal in the first minutes.
Does a low APGAR predict long-term outcome?
A low one-minute score does not. A score that remains low at five and ten minutes is associated with higher risk, but even then most such infants develop normally. APGAR was designed to guide immediate care, and the ACOG explicitly cautions against using it to predict neurological outcome.
When is the score reassessed?
At one and five minutes routinely. If the five-minute score is under 7, assessment continues every five minutes up to 20 minutes while resuscitation proceeds.