Used for assessing the general conditions of the neonate.
- Appearance (skin colour/complexion)
- Blue/pale all over – 0
- Blue/pale extremities – 1
- Pink all over (no cyanosis) – 2
- Pulse
- Absent – 0
- <100bpm – 1
- >100bpm – 2
- Grimace / Reflexes
- None – 0
- grimace/ feeble cry – 1
- Cry / pull away – 2
- Activity / Muscle tone
- None – 0
- some flexion – 1
- Flexion resisting extension – 2
- Respiratory effort
- None – 0
- Weak / irregular / gasping – 1
- Strong cry – 2
Max 10; 7-10 normal; 4-6 bad; <4 very bad