Meet the APGAR Score: What Does It Mean for Your Baby’s Start?

When a baby is born, we all focus on the magical first moments—the first smile, the first touch, and of course, the first breastfeeding. But before all of this, there is another moment, equally important, in which the baby undergoes the APGAR test. This moment, often behind the scenes, can provide us with crucial insight into the baby’s health in the first few seconds after birth.

So what is the APGAR test?

APGAR is a score given to a baby after birth, aimed at quickly assessing their overall health. This test was developed by an American doctor named Dr. Virginia Apgar, who was a pioneer in her field and recognized the need for a fast and accurate measure to evaluate the baby’s condition immediately after birth. The score is given at the one-minute mark after birth and then again at the five-minute mark. APGAR consists of five categories, each receiving a score between 0 and 2:

Appearance: (Skin Color) - A pink skin color indicates good blood flow and proper oxygenation.

Pulse: A pulse over 100 beats per minute is a good sign that the baby's heart is functioning well.

Grimace: (Response to Stimuli) - Responsiveness to crying, stimulation, and pain indicates a functioning nervous system.

Activity: (Muscle Tone) - Active movements indicate strong muscles and good control.

Respiration: Steady breathing and a strong cry indicate healthy lungs.

Overall, a healthy baby will receive an APGAR score between 7 and 10. If the score is lower, the medical team may decide on additional treatment to help the baby start in the strongest and healthiest way.

How does this relate to breastfeeding?

The score may impact the initial breastfeeding times. Babies with a high score are often ready to breastfeed quickly, while babies with a lower score may need a bit more time or assistance before they can start nursing. It’s important to understand that the APGAR test is a momentary measure, and many studies show that despite a low score, most babies fully recover.

As parents, you shouldn’t worry if the score isn't perfect. Instead, focus on connecting with your baby, making eye contact, and enjoying the beautiful moments of the beginning of breastfeeding. The medical team is here to ensure that everything is progressing properly, and you are there to give your baby the love and warmth they need so much in the first hours of their life.

Remember, the APGAR score is just one of the steps in this magical journey of parenthood. If you think about it, every newborn receives a score named after an amazing doctor who dedicated her life to improving care for newborns. If you have any further questions or want to know more about the impact of the APGAR on breastfeeding, I am here to help and support you.