Pregnancy A to Z - APGAR and Newborn Reflexes

APGAR and Newborn Reflexes

APGAR and Newborn Reflexes

A system called APGAR Scores has been developed to check how well your baby is doing right after she's born. A score is given at one minute and five minutes after birth, and is based on five things that you can see on this chart:

Baby's Physical Signs 0 Points 1 Point 2 Points
Breathing None A weak cry; slow, irregular breathing efforts A strong cry; regular breathing
Heart Rate None Less than 100 beats per minute Regular, over 100 beats per minute
Skin Color Blue, pale Body is pink, hands and feet are bluish Completely pink, including hands and feet
Muscle Tone Limp, flaccid Some flexing of extremities, fingers and toes Active movement of all extremities
Reflexes (Response to Stimuli) No response Grimace Cry

APGAR

APGAR tests your baby for breathing, heart rate, skin color, muscle tone and reflexes. A normal score is between eight and ten points, with ten points being a perfect score. Most babies have a score of 8 or 9 five minutes after they're born. There are some things that babies just naturally know as soon as they are born. These are called reflexes.

Sucking and Rooting

If you stroke your baby's lip or cheek, she'll turn her head toward your touch, open her mouth wide, and attempt to suck. This reflex is strongest when she's hungry. Although sucking and swallowing are instinctive, don't be surprised if your baby seems pretty uncoordinated during the first days of her life.

Gagging

Babies, just as adults, have a gag reflex. When something is inserted too far into your baby's mouth, along the back of his tongue, he will gag. This is actually a protective reflex to make sure his airway does not get blocked.

Grasping

When an object is placed in the palm of your baby's hand, she will automatically curl her fingers and grab hold of it. This reflex gradually disappears, and your baby will be able to purposefully grasp and hold objects by the time she's 4 months old.

Startle Reflex

You may notice that your baby "startles" easily when he sees a sudden movement, or hears an unexpected or loud noise, even his own crying. His arms fly outward, palms open, and circle around back toward his body like a giant arm circle. This reflex is most frequent during the first weeks of life and normally disappears by the time your baby is 3 months old.

Stepping Reflex

When you hold your baby upright with her feet touching a table or flat surface, she looks like she is stepping or walking. This reflex normally disappears by the time your baby is a month old, and it won't return until your baby is getting ready to walk.

Dad/Partner Tip
Dad/Partner Tip
Get ready for your baby, go shopping for things, get the room ready, be involved in all of the preparations.

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