Apgar score calculator
A (appearance)
Skin color / oxygenation| no cyanosis body and extremities pink | +2 |
| blue at extremities body pink (acrocyanosis) | +1 |
| blue or pale all over | 0 |
P (pulse)
Strength and regularity of heart rate| > 100 beats per minute | +2 |
| < 100 beats per minute | +1 |
| absent | 0 |
G (grimace)
Reflex response to irritable stimuli| cry on stimulation | +2 |
| grimace on suction or aggressive stimulation | +1 |
| no response to stimulation | 0 |
A (activity)
Muscle tone and movement| flexed arms and legs that resist extension | +2 |
| some flexion | +1 |
| none | 0 |
R (respiration)
Lung maturity| strong, lusty cry | +2 |
| weak, irregular, gasping | +1 |
| absent | 0 |
7-10 - generally normal
4-6 - fairly low
0-3 - critically low level