APGAR Score Calculator
Calculate the APGAR score at 1 and 5 minutes after birth to assess newborn vitality using appearance, pulse, grimace, activity, and respiration.
About this calculator
Named for Dr. Virginia Apgar, who introduced it in 1952, the APGAR score sums five components -- Appearance (skin color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), and Respiration -- each scored 0, 1, or 2, for a total of 0 to 10. It is assessed twice: once at 1 minute after birth and again at 5 minutes, which is why this calculator reports both totals separately rather than a single score.
All five components are scored on the identical 0-2 scale and summed with no differential weighting, so moving any one component from its lowest option to its highest raises the total by exactly 2 points, the same as any other component moving the same distance. A 5-minute score of 7-10 is considered normal, 4-6 moderately depressed, and 0-3 severely depressed, with the SAME bands applied separately to the 1-minute score. Despite its wide use as a snapshot of a newborn's immediate transition to life outside the womb, APGAR was designed as a screening and communication tool, not a predictor of long-term neurological outcome -- a low score prompts immediate clinical attention and resuscitation, but it does not by itself diagnose birth asphyxia or predict how a child will develop.
Medical Disclaimer
This calculator is for informational and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about your health. Never disregard professional medical advice or delay seeking it because of results from this tool.
1-Minute APGAR
10/ 10
5-Minute APGAR
10/ 10
Inputs
Comparison
1-Min Classification
1(1=Normal, 2=Moderate, 3=Severe)
5-Min Classification
1(1=Normal, 2=Moderate, 3=Severe)
Figures current as of 1953. Source: Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg. 1953;32(4):260-267.
How to Use This Calculator
- Score each of the 5 components (Appearance, Pulse, Grimace, Activity, Respiration) at 1 minute after birth.
- Repeat the scoring at 5 minutes.
- Review 1-minute and 5-minute APGAR scores — below 7 at 5 minutes warrants clinical attention.
- APGAR is a screening tool, not a predictor of neurological outcome.
What each input means
- Appearance (1 min)
- Skin color assessment at 1 minute.
- Pulse (1 min)
- Heart rate at 1 minute.
- Grimace (1 min)
- Reflex irritability at 1 minute.
- Activity (1 min)
- Muscle tone at 1 minute.
- Respiration (1 min)
- Breathing effort at 1 minute.
- Appearance (5 min)
- Skin color assessment at 5 minutes.
- Pulse (5 min)
- Heart rate at 5 minutes.
- Grimace (5 min)
- Reflex irritability at 5 minutes.
- Activity (5 min)
- Muscle tone at 5 minutes.
- Respiration (5 min)
- Breathing effort at 5 minutes.
How this is calculated
Worked example, using the default values
- Identify Input Parameters4 parametersAppearance (1 min) = 2, Pulse (1 min) = 2, Grimace (1 min) = 2, Activity (1 min) = 2 = 10 input(s) provided
- Calculate 1-Minute APGAR1-Minute APGAR10 = 10
- Calculate 5-Minute APGAR5-Minute APGAR10 = 10
- Calculate 1-Min Classification1-Min Classification1 = 1
- Calculate 5-Min Classification5-Min Classification1 = 1
Figures and sources
- Apgar Score (newborn assessment at 1 and 5 minutes) (1953) — Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg. 1953;32(4):260-267.
Engine last updated . Checked against 1 independently-derived test — how we verify calculators. Built by Paul Gunder, a software engineer, not a licensed financial, medical, or legal professional.
Frequently Asked Questions
Are all five APGAR components weighted equally?
Yes. Appearance, Pulse, Grimace, Activity, and Respiration are each scored on the identical 0-2 scale and simply added together with no multipliers, so raising any single component from its lowest score to its highest raises the total by exactly 2 points -- the same amount any of the other four components can move it on their own.
Why is the APGAR score checked twice, at 1 minute and 5 minutes?
The two time points capture different things. The 1-minute score reflects how the baby tolerated labor and delivery and flags who needs immediate resuscitation; the 5-minute score reflects how well the baby has responded to any interventions given in those first minutes. A low 1-minute score that improves by 5 minutes generally carries a different clinical meaning than a score that stays low at both checks.
Does a low APGAR score predict a baby's long-term neurological outcome?
No, and this is a common misunderstanding. APGAR was designed as a rapid screening and communication tool to standardize how clinicians describe a newborn's immediate condition, not as a predictor of long-term development. A low score prompts immediate attention and possible resuscitation, but by itself it does not diagnose birth asphyxia or forecast how a child will develop months or years later.
What counts as a normal versus concerning APGAR score?
A score of 7-10 is generally considered reassuring, 4-6 is moderately depressed and often prompts supportive measures like stimulation or oxygen, and 0-3 is severely depressed and typically requires active resuscitation. These same three bands apply separately to both the 1-minute and 5-minute scores, so a baby can move between bands between the two checks.
Does what a baby scored at 1 minute change the 5-minute score?
No -- the two totals are calculated completely independently. The 1-minute score is computed only from the five components assessed at 1 minute, and the 5-minute score only from the five components re-assessed at 5 minutes, with no carryover between them. A baby scoring low at 1 minute and improving with intervention can score much higher at 5 minutes, and this calculator reports both numbers precisely so that improvement (or lack of it) is visible.
Related Calculators
The questions that sit next to this one — chosen by subject, including calculators filed under a different category.
Glasgow Coma Scale Calculator
Calculate the Glasgow Coma Scale (GCS) score from eye, verbal, and motor responses for assessing consciousness level.
Clinical MedicineBishop Score Calculator
Calculate the Bishop score to assess cervical readiness for labor induction based on dilation, effacement, station, consistency, and position.
Pediatric HealthNeonatal Gestational Age Calculator
Estimate gestational age using a simplified Ballard physical maturity score.
Clinical MedicineIV Drip Rate Calculator
Calculate drops per minute and mL per hour for IV fluid administration based on volume, time, and drop factor.
More in Medical & Clinical.