Apgar Score: Utility, limitations, and clinical implications in neonatal practice

Mohammed Ech-Chebab; Anass Ayyad; Hanae Bahari; Sahar Messaoudi; Rim Amrani

doi:10.30574/ijsra.2026.19.2.1100

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Apgar Score: Utility, limitations, and clinical implications in neonatal practice

Mohammed Ech-Chebab ^{1, 2, *}, Anass Ayyad ^{1, 2}, Hanae Bahari ^{1, 2}, Sahar Messaoudi ^{1, 2} and Rim Amrani ^{1, 2}

¹ Department of Neonatology, Mohammed VI University Hospital, Oujda, Morocco.
² Faculty of Medicine and Pharmacy of Oujda, Mohammed First University, Maternal, Child and Mental Health Research Laboratory, Oujda, Morocco.

Research Article

International Journal of Science and Research Archive, 2026, 19(02), 957-959

Article DOI: 10.30574/ijsra.2026.19.2.1100

DOI url: https://doi.org/10.30574/ijsra.2026.19.2.1100

Publication history

Received on 06 April 2026; revised on 14 May 2026; accepted on 16 May 2026

Abstract

The Apgar score is a simple and widely used clinical tool for assessing the condition of newborns immediately after birth. It evaluates five parameters: heart rate, respiratory effort, muscle tone, reflex irritability, and skin color. This narrative review aims to summarize the current evidence regarding the utility, limitations, and clinical implications of the Apgar score in neonatal practice. The Apgar score remains useful for the initial assessment of neonatal adaptation and guiding immediate interventions. However, it has limited predictive value for long-term neurological outcomes and may be influenced by several factors, including prematurity and maternal medications. Despite these limitations, it remains an essential component of neonatal assessment worldwide.

Keywords

Apgar score; Newborn; Neonatal assessment; Resuscitation; Prognosis

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Mohammed Ech-Chebab, Anass Ayyad, Hanae Bahari, Sahar Messaoudi and Rim Amrani. Apgar Score: Utility, limitations, and clinical implications in neonatal practice. International Journal of Science and Research Archive, 2026, 19(02), 957-959. Article DOI: https://doi.org/10.30574/ijsra.2026.19.2.1100.

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Apgar Score: Utility, limitations, and clinical implications in neonatal practice

Mohammed Ech-Chebab ^{1, 2, *}, Anass Ayyad ^{1, 2}, Hanae Bahari ^{1, 2}, Sahar Messaoudi ^{1, 2} and Rim Amrani ^{1, 2}

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Apgar Score: Utility, limitations, and clinical implications in neonatal practice

Mohammed Ech-Chebab 1, 2, *, Anass Ayyad 1, 2, Hanae Bahari 1, 2, Sahar Messaoudi 1, 2 and Rim Amrani 1, 2

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Mohammed Ech-Chebab ^{1, 2, *}, Anass Ayyad ^{1, 2}, Hanae Bahari ^{1, 2}, Sahar Messaoudi ^{1, 2} and Rim Amrani ^{1, 2}