From Big Medical Encyclopedia

APGAR METHOD (V. Apgar, amer. the doctor) — a method of objective definition of a condition of the newborn immediately (during 60 sec.) after his full birth. Apgar in 1953 is offered.

Assessment is made on five clinical signs. Heart rate, depth and adequacy of breath, reflex irritability of a nervous system, a condition of a muscle tone, coloring of integuments are considered. The well-marked sign is estimated by point 2, insufficiently expressed — point 1, absence or a perversion of signs — point of 0 (tab).

Newborns are considered almost healthy if assessment of signs in the sum makes 7 — 10 points. The newborns having assessment of 4 — 6 points are regarded as been born in a condition of slight asphyxia, 1 — 3 point — heavy asphyxia.

However according to the data obtained by G. M. Savelyeva at the newborns who got at the birth assessment 4 points, changes of respiratory function of blood and a current of the post-hypoxemic period are close to those at newborns, the received 1 — 3 point on a scale Apgar. Therefore it is more reasonable to consider the children who received assessment of 5 — 6 points at the birth, being in a condition of slight asphyxia, and the children who received assessment of 1 — 4 point — in a condition of heavy asphyxia.

At asphyxia of the newborn (assessment on a scale Apgar of 1 — 6 points) it is necessary to estimate repeatedly his condition in 5 min. after the birth. Repeated assessment of a condition of the newborn allows to estimate efficiency and sufficiency of the carried-out therapy on revival, to make the closest forecast of life of the newborn, to appoint the subsequent treatment.

Clinical experience and the conducted researches show that the assessment on a scale Apgar is lower, the bigger number of disturbances is observed in intellectual and physical development of children and the more than a percent of death of newborns [F. Schächter, Apgar, 1959].

See also Newborn .

Bibliography: Abramchenko V. V. and Belyanin O. L. Diagnostic and predictive value of assessment of a condition of newborns by a method Apgar at the complicated course of pregnancy and childbirth at mothers, Vopr. okhr. mat. also it is put., t. 16, No. 3, page 60, 1971; Savelyeva G. M. Resuscitation of the newborns (who were born in asphyxia), M., 1973; Pantsevich. T. and Chernykh A. P. Influence reour-vaniya pregnancies on a condition of the newborn (assessment by the Hangar method), in the same place, t. 15, No. 1, page 56, 1970; Apgar V. Proposal for new method of evaluation of newborn infant, Anesth. et Analg., v. 32, p. 260, 1953; Schächter F. F. a. ApgarV. Perinatal asphyxia and psychologic signs of brain damage in childhood, Pediatrics, v. 24, p. 1016, 1959, bibliogr.

C. H. Kopshev.