{"success":true,"version":"v1","request":{"tool":"get_calculator_schema","calculator_id":"apgar-score"},"result":{"entity_type":"calculator","id":"apgar-score","calculator_id":"apgar-score","canonical_url":"https://tttkmbb.com/medical/apgar-score","name":"Apgar Score Calculator","title":"Apgar Score Calculator – Appearance, Pulse, Grimace, Activity, Respiration (AAP/ACOG 2015 Bands)","category":"medical","category_name":"Medical & Clinical","tool_name":"calculate_apgar_score","featured_mcp_tool":false,"description":"Sums the five Apgar components (appearance, pulse, grimace, activity, respiration), each scored 0–2, into the 0–10 newborn score and reports the AAP/ACOG interpretation band (7–10 reassuring, 4–6 moderately abnormal, 0–3 low).","use_when":"You have the five observations of a newborn at 1, 5 or 10 minutes after birth and need the total Apgar score and its band.","do_not_use_when":"You need to predict an individual infant's outcome or decide on resuscitation (the score does not direct resuscitation, which starts before the 1-minute score); results are informational and not medical advice.","inputs":[{"name":"appearance","label":"Appearance (skin colour)","type":"enum","required":true,"values":[{"value":"blue_pale","label":"0 – blue or pale all over","aliases":["0","blue_pale","blue pale","blue","pale","cyanotic"]},{"value":"body_pink_extremities_blue","label":"1 – body pink, hands and feet blue (acrocyanosis)","aliases":["1","body_pink_extremities_blue","body pink extremities blue","acrocyanosis","extremities_blue","extremities blue","pink_body_blue_extremities","pink body blue extremities"]},{"value":"completely_pink","label":"2 – completely pink, no cyanosis","aliases":["2","completely_pink","completely pink","pink","all_pink","all pink","normal"]}],"description":"Skin colour: blue_pale = 0, body_pink_extremities_blue = 1, completely_pink = 2.","example":"completely_pink"},{"name":"pulse","label":"Pulse (heart rate)","type":"enum","required":true,"values":[{"value":"absent","label":"0 – absent","aliases":["0","absent","none","no_pulse","no pulse"]},{"value":"below_100","label":"1 – below 100 beats per minute","aliases":["1","below_100","below 100","less_than_100","less than 100","under_100","under 100","slow"]},{"value":"above_100","label":"2 – 100 beats per minute or more","aliases":["2","above_100","above 100","over_100","over 100","100_or_more","100 or more","normal"]}],"description":"Heart rate: absent = 0, below_100 = 1, above_100 = 2.","example":"above_100"},{"name":"grimace","label":"Grimace (reflex irritability)","type":"enum","required":true,"values":[{"value":"no_response","label":"0 – no response","aliases":["0","no_response","no response","none","absent"]},{"value":"grimace","label":"1 – grimace or feeble cry","aliases":["1","grimace","feeble_cry","feeble cry","minimal"]},{"value":"cry_or_cough","label":"2 – cry, cough or sneeze (vigorous)","aliases":["2","cry_or_cough","cry or cough","cry","cough","sneeze","vigorous"]}],"description":"Response to stimulation: no_response = 0, grimace = 1, cry_or_cough = 2.","example":"grimace"},{"name":"activity","label":"Activity (muscle tone)","type":"enum","required":true,"values":[{"value":"limp","label":"0 – limp, flaccid","aliases":["0","limp","flaccid","none"]},{"value":"some_flexion","label":"1 – some flexion of arms and legs","aliases":["1","some_flexion","some flexion","some_movement","some movement","flexed_arms_legs","flexed arms legs"]},{"value":"active_motion","label":"2 – active motion, flexed limbs resisting extension","aliases":["2","active_motion","active motion","active","active_movement","active movement","normal"]}],"description":"Muscle tone: limp = 0, some_flexion = 1, active_motion = 2.","example":"active_motion"},{"name":"respiration","label":"Respiration (breathing)","type":"enum","required":true,"values":[{"value":"absent","label":"0 – absent","aliases":["0","absent","none","apnoea","apnea"]},{"value":"weak_irregular","label":"1 – weak, irregular or gasping","aliases":["1","weak_irregular","weak irregular","weak","irregular","slow","gasping"]},{"value":"strong_cry","label":"2 – strong cry, regular breathing","aliases":["2","strong_cry","strong cry","strong","good_cry","good cry","vigorous","normal"]}],"description":"Breathing effort: absent = 0, weak_irregular = 1, strong_cry = 2.","example":"strong_cry"}],"outputs":[{"name":"apgar_score","label":"Apgar score","type":"integer","decimals":4,"description":"Sum of the five components, 0–10."},{"name":"interpretation","label":"Interpretation","type":"string","decimals":4,"description":"AAP/ACOG 2015 bands: 7–10 reassuring, 4–6 moderately abnormal, 0–3 low."},{"name":"component_scores","label":"Component scores","type":"object","decimals":0,"description":"Points for appearance, pulse, grimace, activity and respiration."},{"name":"note","label":"Note","type":"string","decimals":4,"description":"Timing of the score and what it does and does not indicate."}],"input_schema":{"type":"object","properties":{"appearance":{"description":"Skin colour: blue_pale = 0, body_pink_extremities_blue = 1, completely_pink = 2.","type":"string","enum":["blue_pale","body_pink_extremities_blue","completely_pink"],"examples":["completely_pink"]},"pulse":{"description":"Heart rate: absent = 0, below_100 = 1, above_100 = 2.","type":"string","enum":["absent","below_100","above_100"],"examples":["above_100"]},"grimace":{"description":"Response to stimulation: no_response = 0, grimace = 1, cry_or_cough = 2.","type":"string","enum":["no_response","grimace","cry_or_cough"],"examples":["grimace"]},"activity":{"description":"Muscle tone: limp = 0, some_flexion = 1, active_motion = 2.","type":"string","enum":["limp","some_flexion","active_motion"],"examples":["active_motion"]},"respiration":{"description":"Breathing effort: absent = 0, weak_irregular = 1, strong_cry = 2.","type":"string","enum":["absent","weak_irregular","strong_cry"],"examples":["strong_cry"]}},"additionalProperties":false,"required":["appearance","pulse","grimace","activity","respiration"]},"output_schema":{"type":"object","properties":{"apgar_score":{"description":"Sum of the five components, 0–10.","type":"integer"},"interpretation":{"description":"AAP/ACOG 2015 bands: 7–10 reassuring, 4–6 moderately abnormal, 0–3 low.","type":"string"},"component_scores":{"description":"Points for appearance, pulse, grimace, activity and respiration.","type":"object"},"note":{"description":"Timing of the score and what it does and does not indicate.","type":"string"}}},"formula":"apgar_score = appearance + pulse + grimace + activity + respiration, each 0, 1 or 2; 7–10 reassuring, 4–6 moderately abnormal, 0–3 low","method":"Virginia Apgar's 1953 score with the interpretation bands of the 2015 AAP/ACOG Committee Opinion 644, which also notes that the score reflects prematurity, maternal medication and congenital conditions and is not evidence of asphyxia by itself. Results are informational only and not a substitute for clinical judgement or medical advice.","sources":[{"name":"AAP/ACOG Committee Opinion No. 644 (2015) The Apgar Score","url":"https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2015/10/the-apgar-score","type":"standard","retrieved_at":"2026-09-24"},{"name":"Apgar V (1953) A proposal for a new method of evaluation of the newborn infant, Curr Res Anesth Analg 32:260-267","url":"https://pubmed.ncbi.nlm.nih.gov/13083014/","type":"peer_reviewed","retrieved_at":"2026-09-24"}],"freshness":{"type":"static","max_age_seconds":null,"note":"Deterministic formula with fixed constants; results never go stale. Inputs supplied by the caller determine the output."},"examples":[{"name":"Pink, pulse >100, grimace, active, strong cry","inputs":{"appearance":"completely_pink","pulse":"above_100","grimace":"grimace","activity":"active_motion","respiration":"strong_cry"},"expected":{"apgar_score":9,"interpretation":"Reassuring (7–10)","component_scores":{"appearance":2,"pulse":2,"grimace":1,"activity":2,"respiration":2}},"url":"https://tttkmbb.com/api/v1/calculate/apgar-score?appearance=completely_pink&pulse=above_100&grimace=grimace&activity=active_motion&respiration=strong_cry"},{"name":"Blue, pulse <100, no response, limp, weak breathing","inputs":{"appearance":"blue_pale","pulse":"below_100","grimace":"no_response","activity":"limp","respiration":"weak_irregular"},"expected":{"apgar_score":2,"interpretation":"Low (0–3)"},"url":"https://tttkmbb.com/api/v1/calculate/apgar-score?appearance=blue_pale&pulse=below_100&grimace=no_response&activity=limp&respiration=weak_irregular"}],"faq":[{"q":"When is the score assigned?","a":"At 1 and 5 minutes after birth; if the 5-minute score is below 7, every 5 minutes up to 20 minutes. Resuscitation, when needed, begins before the 1-minute score."},{"q":"Does a low score mean brain injury?","a":"No. A 5-minute score of 0–3 is associated with higher neonatal mortality at population level, but the score alone does not predict an individual infant's neurological outcome and is not evidence of asphyxia."},{"q":"Is the score valid in preterm infants?","a":"Tone and reflex responses are lower in healthy preterm infants, so scores are lower without illness; the bands were described for term and late-preterm infants."}],"tags":["apgar score","newborn assessment","neonatal score","apgar 1 minute 5 minutes","birth"],"related":[{"calculator_id":"glasgow-coma-scale","reason":"Component-based scale for level of consciousness in older patients."},{"calculator_id":"pregnancy-due-date","reason":"Gestational dates before the birth."},{"calculator_id":"maintenance-fluids","reason":"Weight-based fluid needs for infants and children."}],"links":{"html":"https://tttkmbb.com/medical/apgar-score","markdown":"https://tttkmbb.com/medical/apgar-score.md","json":"https://tttkmbb.com/medical/apgar-score.json","api":"https://tttkmbb.com/api/v1/calculate/apgar-score","schema":"https://tttkmbb.com/api/v1/calculators/apgar-score","openapi":"https://tttkmbb.com/openapi.json","mcp":"https://tttkmbb.com/mcp"},"version":"v1","updated_at":"2026-09-24"},"timestamp":"2026-09-24T03:47:40Z"}