Calculate the Apgar score to assess newborn condition at 1 minute and 5 minutes after birth. Five signs are each scored 0–2 at both time points: Appearance (skin color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), and Respiration. Each time point totals 0–10. Interpretation: 7–10 reassuring; 4–6 moderately abnormal (may need assistance); 0–3 critically low (immediate resuscitation). The tool reports both the 1-min and 5-min scores, the change (delta), and per-time-point interpretation. A 5-min score, and especially the change from 1 to 5 min, indicates response to resuscitation; persistent low 5-min scores warrant continued resuscitation and reassessment at 10 min. Derived from Apgar 1953, reaffirmed by ACOG/AAP. The Apgar is a physiologic snapshot at a moment in time and is not, by itself, a marker of asphyxia or long-term neurologic outcome. Not medical advice.
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Key facts
Category
Health
Input types
select
Output type
json
Sample coverage
4
API ready
Yes
Overview
The Apgar Score calculator assesses a newborn’s condition at 1 and 5 minutes after birth using Appearance, Pulse, Grimace, Activity, and Respiration. Enter each sign’s 0–2 value to receive both total scores, their change, and an interpretation for each time point.
When to use
To calculate a newborn’s Apgar score at 1 minute and 5 minutes after birth.
Result
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To compare the 1-minute and 5-minute scores and review the change over time.
To organize Apgar findings during delivery, neonatal, pediatric, or obstetric documentation.
How it works
1Select the observed Appearance, Pulse, Grimace, Activity, and Respiration finding at 1 minute.
2Select the same five findings at 5 minutes.
3The calculator assigns each finding 0, 1, or 2 points and totals each time point from 0 to 10.
4The result reports both scores, the delta between them, and the interpretation: reassuring, moderately abnormal, or critically low.
Use cases
Neonatal assessment after delivery
Clinical education and Apgar scoring practice
Structured documentation of newborn condition and score changes
Examples
1. Newborn improving after initial support
Neonatal care team
Background
The newborn has a 1-minute score of 6 with blue extremities, some flexion, a grimace, and slow or irregular respiration. Findings improve by 5 minutes.
Problem
Calculate both Apgar scores and quantify the change between assessments.
How to use
Select the listed 1-minute and 5-minute findings for Appearance, Pulse, Grimace, Activity, and Respiration.
Outcome
The result is Apgar 6 at 1 minute and 9 at 5 minutes, with a delta of +3. The 1-minute score is moderately abnormal and the 5-minute score is reassuring.
2. Reassuring newborn assessment
Delivery team
Background
The newborn has blue extremities with a pink body at 1 minute, while all other findings are in the highest scoring category. At 5 minutes, all findings score 2.
Problem
Confirm the total scores and review the small change caused by the initial skin-color finding.
How to use
Choose Appearance = blue extremities, pink body at 1 minute, choose score 2 for the other 1-minute findings, and choose score 2 for every 5-minute finding.
Outcome
The result is Apgar 9 at 1 minute and 10 at 5 minutes, with a delta of +1. Both interpretations are reassuring.
3. Reviewing a low 5-minute score
Clinician or trainee
Background
A newborn has several findings in the 0 or 1 point categories at both assessment times.
Problem
Calculate the score accurately and identify whether the 5-minute interpretation remains critically low or moderately abnormal.
How to use
Enter the observed category for each of the five signs at 1 and 5 minutes, using the available 0–2 scoring options.
Outcome
The calculator returns separate 0–10 totals, the delta, component scores, and the interpretation for each time point. Persistent low 5-minute scores require clinical reassessment and appropriate care.
FAQ
What does the Apgar Score calculator measure?
It scores five newborn signs: skin color, heart rate, reflex response, muscle tone, and respiration at 1 and 5 minutes.
What is the maximum Apgar score?
The maximum score is 10 at each time point, with each of the five signs contributing up to 2 points.
How are Apgar scores interpreted?
Scores of 7–10 are reassuring, 4–6 are moderately abnormal, and 0–3 are critically low.
What does the change between 1 and 5 minutes show?
The delta shows how the score changed between the two assessments and may indicate response to resuscitation.
Is the Apgar score a diagnosis of asphyxia or long-term outcome?
No. It is a physiological snapshot and should not alone be used to diagnose asphyxia or predict long-term neurological outcome.