The mnemonic
APGAR
What each word stands for
- AAppearance (skin colour)
- PPulse (heart rate)
- GGrimace (reflex irritability)
- AActivity (muscle tone)
- RRespiration
Why it matters clinically
Each item scores 0–2, recorded at 1 and 5 minutes. A low score does not by itself define asphyxia or predict outcome.
Where it stops being reliable
The score should not delay resuscitation; initiate neonatal resuscitation based on clinical assessment, not on waiting for the 1-minute score.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.