Reflections on the Apgar Scoring System

  • J. Selwyn Crawford


The introduction of the Apgar scoring system (1) was an outstanding milestone in the history of perinatology. Initially, its intended functions were twofold: to encourage clinicians to observe all newly born infants closely during the moments after delivery, and to provide a teaching aid in the practice of neonatal resuscitation. Subsequently, two additional advantages of the scoring system have become apparent: it can be used as a scale of measurement for comparatively evaluating therapeutic techniques (such as schemes of analgesia in labor, or of anesthesia for operative delivery), as well as how frequently and to what extent neonatal depression is related to categories of obstetric pathology. Secondly, it has been employed as an indicator of the likelihood of short- or long-term morbidity.


Apgar Score Birth Asphyxia Neonatal Resuscitation Resuscitative Measure Heavy Medication 
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© Springer-Verlag New York Inc. 1979

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  • J. Selwyn Crawford

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