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APGAR score calculator

Score the five APGAR signs you observe — Appearance, Pulse, Grimace, Activity, Respiration — at 1 minute, 5 minutes, and any extended time points, and print a worksheet for the record. An assessment aid, not a diagnosis, and nothing you enter leaves your device.

For each of the five signs, choose the score you observe at this time point: 0, 1, or 2. The five sum to a total from 0 to 10.

Time point

1-minute APGAR · Appearance · Pulse · Grimace · Activity · Respiration

AAppearance (skin colour)

Appearance (skin colour): choose the score

PPulse (heart rate)

Pulse (heart rate): choose the score

GGrimace (reflex irritability)

Grimace (reflex irritability): choose the score

AActivity (muscle tone)

Activity (muscle tone): choose the score

RRespiration (respiratory effort)

Respiration (respiratory effort): choose the score

1-minute total

—/ 10

Score all five signs to see the band

Assessment aid, not a diagnosis. This tool only sums the five APGAR signs you scored yourself — it observes nothing and recommends nothing. An APGAR score is NOT evidence of asphyxia, does NOT decide whether, what, or when to resuscitate (resuscitation begins before the 1-minute score is even assigned), and does NOT predict long-term neurologic outcome. Severity bands are interpretive context, not a disposition. Not a medical device; no certification claimed.

Privacy: Runs entirely in your browser — nothing you enter is sent to a server or stored.

Component anchors and bands reproduced from: Simon LV, Hashmi MF, Bragg BN. APGAR Score. StatPearls [Internet]. NCBI Bookshelf NBK470569 (updated 2023)..

How the APGAR score works

The APGAR score is a structured 0–10 tally of five newborn signs — Appearance, Pulse, Grimace, Activity, Respiration — each scored 0, 1, or 2, recorded at 1 and 5 minutes (and every 5 minutes thereafter while the score stays 7 or below). It documents the newborn's condition for the record; resuscitation, when needed, starts before the 1-minute score is assigned and is never driven by the number.

Each total maps to an interpretive band — 7–10 reassuring, 4–6 moderately abnormal, 0–3 low. The component anchors and bands come from StatPearls (NBK470569), not from us, and the band is context for the record rather than a disposition.

Many units still tally the APGAR on a paper slip. If you run a delivery service, our OB-GYN clinic workflow page (and the pediatric clinic page) explains how Avinya Plus's template builder and formula engine let you build the APGAR signs into a delivery or newborn form, total them automatically, and keep the breakdown on the record. Avinya Plus ships no pre-built APGAR instrument — you configure it; the arithmetic is the engine's.

Frequently asked questions

How is the APGAR score calculated?
Each of the five signs — Appearance, Pulse, Grimace, Activity, Respiration — is scored 0, 1, or 2, and the five are summed to a total of 0 to 10 at each time point. The score is recorded at 1 minute and 5 minutes, and every 5 minutes after that while it stays at 7 or below.
What do the APGAR bands mean?
As interpretive context only: 7–10 is reassuring, 4–6 is moderately abnormal, and 0–3 is low. The bands are not a diagnosis or a disposition.
Does a low APGAR mean birth asphyxia?
No. An APGAR score is not evidence of asphyxia and does not predict long-term neurologic outcome. It is a documentation aid interpreted alongside the full clinical picture.
Does the score decide resuscitation?
No. Resuscitation is guided by the newborn's condition and begins before the 1-minute APGAR is even assigned. The tool recommends nothing.
Does any of the data I enter leave my browser?
No. The scoring runs entirely in your browser; nothing you enter is sent to a server or stored. The print option produces a clean worksheet you can save as a PDF.

Sources

The five-component 0/1/2 anchors and the interpretive bands are reproduced from StatPearls (NBK470569). The APGAR score documents newborn vitality for the record; it is not a diagnosis, a resuscitation trigger, or a predictor of outcome. Reviewed against the source on 2026-06-29. Guidelines evolve — verify against current ACOG/AAP guidance.

Record the APGAR in the newborn note, not on paper.

In Avinya Plus you can build the APGAR signs into a delivery or newborn template, total them automatically, and keep the breakdown on the record. See it configured on a quick demo.