They are calculated by dividing the events that meet the indicator criteria by the number of babies or women giving birth for the first time during the period. Apgar scoring is a common and accepted practice used for evaluating newborns immediately after delivery. The indicator for surgical repair of a fourth-degree tear is reported as a percentage of women giving birth for the first time. An Apgar score that remains 0 beyond 10 minutes of age may, however, be useful in determining whether continued resuscitative efforts are indicated because very few infants with an Apgar score of 0 at 10 minutes have been reported to survive with a normal neurologic outcome 3 4 5. Scores of 4, 5, and 6 are intermediate and are not markers of increased risk of neurologic dysfunction. The APGAR indicator is reported as a percentage of births. A 5-minute Apgar score of 7 to 10 is considered normal. On assessment, you note the following about your newborn patient: heart rate 130, pink body and hands with cyanotic feet, weak cry, flexion of the arms and legs, active movement and crying when stimulated. Rationale: The Apgar score is a useful tool to document a newborn’s adjustment to the extrauterine environment as fetal circulation changes over to postnatal circulation. Ramsay Health Care participates in the Australian Council on Healthcare Standards (ACHS) Clinical Indicator Program and use their definitions for these indicators. Youre assessing the one minute APGAR score of a newborn baby. The indicator for surgical repair for fourth degree tear is an indicator of major complication of a vaginal birth. This is very similar to the industry average. The graph below shows the percentage of healthy babies born with normal APGAR scores. The total APGAR rating scale is from 1 to 10, with a score of 7 and above being considered normal, and the baby doesn’t require additional medical intervention. Each characteristic is rated from zero to two, and the sum of these five characteristics is the total APGAR score of the baby. At birth, the Midwife and Doctor assess the baby’s heart rate, breathing effort, muscle tone, reflex irritability and skin colour. The APGAR score is a simple assessment of a baby’s condition at birth, which helps determine whether the baby needs any additional medical assistance. Coming to hospital for obstetric and maternity careįor all babies delivered at our Ramsay Health Care maternity hospitals an APGAR score is completed at one minute, and again at five minutes after birth.
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