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Old 04-08-2008, 10:18 PM   #1
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Apgar Scores-- how important?

How important is the Apgar score portion of the labor sheet in the DONA certification packet? My Mom doesn't know her Apgar scores, neither do I... obviously, I can't get them from the midwife, and I feel uncomfortable pressuring the mom to get them just for my certification... I met this client the day before she gave birth!

Do I have to throw out the entire birth because of the missing info? Can someone who's certified with DONA help me out with this?
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Old 04-09-2008, 11:30 AM   #2
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We have a couple DONA board members who would be able to answer your question!
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Old 04-09-2008, 12:10 PM   #3
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Was the baby given right to mom? Did there ever seem to be any problems with the baby or were mom and babe separated for a long period of time? I think if the answer is no you could assume high APGARs, around 8 or 9.
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Old 04-09-2008, 12:27 PM   #4
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The peds at my recent birth gave me an 8/9 for one minute apgar but I couldn't get any more info out of them after that. Will that be sufficient?
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Old 04-09-2008, 12:31 PM   #5
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They do Kangaroo Care at this hospital... the baby is placed right on Mom and left there for sometimes a couple of hours, vernix and all. So, there were not even any measurements taken before I left the hospital. When I did my postnatal, they obviously had the height and weight, but didn't know the Apgar... I have to assume it was high, too-- the baby moved and cried, and quieted right down as soon as she was placed on mom-- she nursed right away. I just have the "official" Apgars to deal with.

Thanks for any help from our DONA cert committee members
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Old 04-09-2008, 12:34 PM   #6
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Oops.. that should read "DON'T have the official Apgars"... It seems I can't edit my post. Sorry about the double post!
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Old 04-09-2008, 12:51 PM   #7
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Old 04-09-2008, 01:04 PM   #8
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Sounds like an awesome hospital!


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Originally Posted by Asquared View Post
They do Kangaroo Care at this hospital... the baby is placed right on Mom and left there for sometimes a couple of hours, vernix and all. So, there were not even any measurements taken before I left the hospital. When I did my postnatal, they obviously had the height and weight, but didn't know the Apgar... I have to assume it was high, too-- the baby moved and cried, and quieted right down as soon as she was placed on mom-- she nursed right away. I just have the "official" Apgars to deal with.

Thanks for any help from our DONA cert committee members
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Old 04-09-2008, 03:03 PM   #9
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Originally Posted by DoulaMegz View Post
The peds at my recent birth gave me an 8/9 for one minute apgar but I couldn't get any more info out of them after that. Will that be sufficient?
If you recieved 2 numbers like 8/9, that is most likely both scores: 8 for 1 minute scoring and 9 for 5 minute scoring. That is generally the scores most babies receive. A score of 10 is not that common. Babies must be perfectly pink with no bluish skin anywhere to receive a 10. Hands and feet are rarely pink at 5 minutes.

Nurses score the babies so you could always ask the nurse caring for baby to give you the scores. I would hope It is not a big deal to provide these. I would do it for the doulas at my hospital.

Hope this helps. If you have more questions regarding Apgars, I would be glad to help.

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Old 04-09-2008, 05:37 PM   #10
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Originally Posted by vickie_f View Post
If you recieved 2 numbers like 8/9, that is most likely both scores: 8 for 1 minute scoring and 9 for 5 minute scoring. That is generally the scores most babies receive. A score of 10 is not that common. Babies must be perfectly pink with no bluish skin anywhere to receive a 10. Hands and feet are rarely pink at 5 minutes.

Nurses score the babies so you could always ask the nurse caring for baby to give you the scores. I would hope It is not a big deal to provide these. I would do it for the doulas at my hospital.

Hope this helps. If you have more questions regarding Apgars, I would be glad to help.

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At my third birth, the baby's apgar's were ten and ten. The nurses said no one would believe me when I wrote it down in my notes!
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Old 04-09-2008, 05:52 PM   #11
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Quote:
Originally Posted by Asquared View Post
They do Kangaroo Care at this hospital... the baby is placed right on Mom and left there for sometimes a couple of hours, vernix and all. So, there were not even any measurements taken before I left the hospital. When I did my postnatal, they obviously had the height and weight, but didn't know the Apgar... I have to assume it was high, too-- the baby moved and cried, and quieted right down as soon as she was placed on mom-- she nursed right away. I just have the "official" Apgars to deal with.

Thanks for any help from our DONA cert committee members
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Old 04-09-2008, 05:58 PM   #12
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I guess I was very lucky. The nurses at my cert births let me look at the babies records (with moms permission!) to get any missing information I needed. I'm sure not allowed.....however....
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Old 04-09-2008, 06:04 PM   #13
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Yeah, the two numbers could have been both, however the nurse/ped said "oh, she's an 8 or 9, I haven't done them yet..." it was wierd. I'll just put them in there as 8 and 9 cuz she looked great and even nursed after being yanked from mommy for 10 or 15 minutes.
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Old 04-09-2008, 06:39 PM   #14
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Yea, around here no one gets a 10 unless there is pizza involved.
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Old 04-10-2008, 05:00 AM   #15
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At my third birth, the baby's apgar's were ten and ten. The nurses said no one would believe me when I wrote it down in my notes!
LOL! Its always great to score a baby with a 10/10. I have given 10's at 5 minutes several times but 1 minute scores of 10 are extraordinary. Was this your third birth personally or your third birth as a doula?


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