historyNLM Circulating Now1952 · New York City, USA
Rise, Serve, Lead!: Celebrating Virginia Apgar
Virginia Apgar, an American anesthesiologist, created a five-part check still run on almost every newborn within minutes of birth: heart rate, breathing, muscle tone, reflex response and skin colour, each scored from 0 to 2 for a total out of 10. Her key move was turning bedside observations into a number, so that doctors could compare babies and track how they fared. In the early 1950s she presented the score, and a study of 17,221 babies across 12 institutions showed it predicted survival and development. Today the scores can be pooled across hospitals to see how anesthetics or labour affect newborns. Apgar had wanted to be a surgeon but was discouraged, so she moved into the newer field of anesthesiology and became the first woman appointed full professor at Columbia's medical college.
The score gave hospitals a shared language for judging a newborn's condition at the moment it matters most. It is an early example of medicine treating routine clinical observations as data, decades before the term big data existed.
The Apgar acronym stands for Appearance, Pulse, Grimace, Activity and Respiration.
background
Virginia Apgar (June 7, 1909 – August 7, 1974) was an American physician, obstetrical anesthesiologist and medical researcher, best known as the inventor of the Apgar score, a way to quickly assess the health of a newborn child immediately after birth in order to combat infant mortality. In 1952, she developed the 10-point Apgar score to assist physicians and nurses in assessing the status of newborns. Given at one minute and five minutes after birth, the Apgar test measures a child's breathing, skin color, reflexes, motion, and heart rate. A friend said, "She probably did more than any other physician to bring the problem of birth defects out of back rooms." She was a leader in the fields of anesthesiology and teratology, and introduced obstetrical considerations to the established field of neonatology.
From Wikipedia: Virginia Apgar (CC BY-SA 4.0) ↗see
key facts
- Born
- 7 June 1909
- Died
- 7 August 1974
- Known as
- pediatrician, university teacher
Facts: Wikidata (CC0)
U.S. National Library of Medicine
Illustrative photo · World Journal Tribune photo by Al Ravenna, Public domain, via Wikimedia Commons
