APGAR Scoring

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We recommend APGAR scoring to assess all neonates shortly after birth, to assess probability of survival and to target puppies in need of immediate assistance.

APGAR scoring should be conducted shortly (ideally, within five minutes) after birth.

For each of the five areas below, score the puppy with a zero, one or two:

Heartbeat

AbsentPresent

Breathing

Less than 6 breaths per minute or AbsentWeak, irregularGreater than 15 breaths per minute, rhythmic

Mucus membranes

Pale or cyanotic (Blue or purple)Slightly pale or cyanoticPink

Movements

AbsentWeak movementsNormal,active movements

Reflexes

No turning, No vocalizationTurns in 5–10 seconds, Weak vocalizationTurns in less than 5 seconds, Clear vocalization

Puppies can receive an APGAR score between 0 and 10. Scores less than 6 are concerning, and puppies with scores less than 4 are at high risk of dying.

APGAR Score

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