īefore undertaking any effort to update a newborn assessment score, there is a need to define the purpose of such a score. This has led to studies of modified Apgar scoring or even entirely new scores.
APGAR SCORE PRACTICE HOW TO
Yet over the decades, concerns about its reliability, ,, prognostic value, ,, how to account for interventions and prematurity, as well advances in the care of the infant immediately after delivery have raised questions about its continued value. Virginia Apgar published her eponymous scoring system for describing the condition of the newborn infant in the first minute after birth, it is used in the vast majority of deliveries around the world. Development of any future newborn assessment tools should account for the multiple purposes for which the Apgar score is used. There is no consistent definition of a significant score. Most studies using the Apgar score are focused on the mother. Definition of significance was influenced by specialty in 2018–19 and by study purpose in both epochs. There were 50 different definitions of a significant score. The most common purpose for using the Apgar was to assess newborn status after pregnancy/delivery interventions. There was a 61% increase in number of publications in 2018–19 compared to 1989–90, from all regions except North America. The location and specialty of first author, primary purpose and how the Apgar score was used was recorded. Pubmed search for English publications using MeSH Terms “apgar score” OR “apgar” AND “score” AND “humans” for epochs 1989–90 & 2018–19. To review how the Apgar score is used in published clinical research as well as who uses it, and how this may have changed between 1989––19.
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