Apgar Score Calculator
Calculate a newborn's 1- and 5-minute Apgar score from heart rate, respiration, muscle tone, reflex response, and skin color.
1분 평가 (출생 1분 후)
5분 평가 (출생 5분 후)
7~10점: 정상 범위 — 대부분의 건강한 신생아가 해당합니다.
7~10점: 정상 범위 — 대부분의 건강한 신생아가 해당합니다.
항목별 점수 (1분 · 5분)
판정 기준 (AAP/ACOG)
결과 공유
⚠️ 반드시 확인하세요
- 아프가 점수는 분만 현장에서 의료진이 직접 평가하는 지표입니다. 이 계산기는 기록된 항목 점수를 합산·해석해 보는 참고용 도구이며 의료진의 판단을 대체할 수 없습니다.
- 아프가 점수는 출생 직후의 일시적인 적응 상태를 나타내며, 아기의 장기적인 건강이나 발달을 예측하는 지표가 아닙니다.
- 미숙아는 근긴장도·호흡 항목에서 만삭아보다 점수가 낮게 나올 수 있어 재태주수를 고려한 해석이 필요합니다.
- 아기 상태에 대한 궁금증이나 우려는 반드시 담당 의료진과 상담하세요.
Overview
The Apgar score, devised in 1952 by anesthesiologist Virginia Apgar, is the international standard for rapidly assessing how well a newborn is adapting to life outside the womb. Five criteria — heart rate, respiration, muscle tone, reflex irritability, and skin color — are each scored 0 to 2, for a total of 0 to 10 points, assessed at 1 minute and 5 minutes after birth. A score of 7–10 is normal, 4–6 is moderately depressed, and 0–3 is severely depressed. Select the score for each criterion to see the 1- and 5-minute totals and their interpretation instantly.
Formula
Apgar score = heart rate + respiration + muscle tone + reflex response + skin color (each 0/1/2, total 0–10) | Interpretation: 7–10 normal, 4–6 moderately depressed, 0–3 severely depressed | e.g. pulse 2 + respiration 1 + tone 1 + reflex 2 + color 1 = 7 (normal)
How to Use
- 1In the 1-minute column, select the score (0/1/2) for each of the five criteria: heart rate, respiration, muscle tone, reflex response, and skin color.
- 2Select the scores for the same five criteria in the 5-minute column.
- 3Check the 1- and 5-minute Apgar scores (out of 10) and the normal / moderately depressed / severely depressed interpretation.
- 4If the 5-minute score is below 7, note the reassessment guidance (every 5 minutes, up to 20 minutes).
Examples
The most common case — Apgar 7/9
At 1 minute: heart rate 2 (≥100 bpm), respiration 1 (weak cry), muscle tone 1, reflex 2, color 1 (blue hands and feet) totals 7 — normal. By 5 minutes, respiration and tone recover to 2, giving 9. Acrocyanosis (blue extremities) is very common right after birth, so many babies still score 1 for color at 5 minutes — a perfect 10 is actually rare.
Moderate depression with recovery — Apgar 5/8
At 1 minute: heart rate 1 (<100 bpm), respiration 1 (irregular), tone 1, reflex 1 (grimace), color 1 totals 5 — moderately depressed, and breathing support may be needed. After intervention, heart rate, respiration, and reflex recover to 2 at 5 minutes, giving 8 (normal). This low-1-minute / normal-5-minute pattern usually carries no long-term concern.
When reassessment is needed — 5-minute score of 6
A 5-minute score of pulse 2, respiration 1, tone 1, reflex 1, color 1 totals 6. Because it is below 7, AAP/ACOG guidance calls for repeat scoring every 5 minutes — at 10, 15, and 20 minutes — while resuscitative care continues.
Background
The Apgar score's standard use is defined in a joint statement by the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists (ACOG), and delivery rooms worldwide apply the same five criteria and cutoffs. The criteria form the backronym APGAR: Appearance (color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), and Respiration. AAP/ACOG emphasize that the score reflects the newborn's immediate physiologic condition, does not predict neurological outcome, and that the decision to begin resuscitation must not wait for a score to be assigned.
Tips
- ✔The 1-minute score reflects how the baby tolerated birth; the 5-minute score reflects adaptation and response to care — the 5-minute score matters more for outcome.
- ✔Blue hands and feet (acrocyanosis) are very common right after birth, so a color score of 2 is uncommon — 8s and 9s are far more typical than a perfect 10.
- ✔If the 5-minute score is below 7, scoring is repeated every 5 minutes (10, 15, 20 minutes) for up to 20 minutes.
- ✔Preterm babies tend to score lower on muscle tone and respiration, so scores should be interpreted in light of gestational age.
- ✔The Apgar score is assigned by clinicians in the delivery room — this tool is for understanding recorded scores, not for making clinical decisions.
FAQ
Q. Is an Apgar score of 7 okay?
Yes — 7 to 10 is the normal range. Right after birth, blue extremities (color 1) and a weak first cry (respiration 1) are common, so 7–8 at 1 minute and 8–9 at 5 minutes is the most typical pattern. A perfect 10 is actually rare.
Q. Why are 1-minute and 5-minute scores measured separately?
The 1-minute score reflects the baby's condition immediately after enduring labor and delivery, while the 5-minute score reflects adaptation to the outside world and response to any interventions. A low 1-minute score that recovers to 7 or more by 5 minutes usually carries no concern; clinically, the 5-minute score is the more important of the two.
Q. What happens if the 5-minute score is below 7?
AAP/ACOG guidance recommends repeating the assessment every 5 minutes — at 10, 15, and 20 minutes — for up to 20 minutes, while clinicians continue any needed support such as assisted ventilation. The decision to start resuscitation is made from the baby's condition immediately, never delayed to wait for a score.
Q. Does a low Apgar score mean my child will have developmental problems?
No — the Apgar score describes the newborn's transient condition just after birth and is not designed to predict long-term health or neurodevelopment. AAP/ACOG explicitly state that the score alone should not be used to predict or diagnose neurological outcomes such as cerebral palsy. Babies with a low 1-minute score that normalizes by 5 minutes do well in the vast majority of cases.
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