I have worked Labor and Delivery for @ 6 years. Our department has all LDRP's and all nurses function in labor, delivery, pp and newborn care. I recently had a new grad midwife question my Apgar score on a delivery. I scored 8 and 9 apgars counting off for color. The midwife says that you can't give a 0 for color if you give a 2 for heart rate and respirations.
I count 1 for color if the infant is pink centrally w/acrocyanosis and I count a 0 for color if there is any central cyanosis (circum-oral included). I have practiced this way for my entire career and have never had anyone question my scoring. Every APGAR chart I find is unspecific, it say 0 for apperance if the infant is blue/pale, and 1 for color if pink with blue hands and feet.
My rationale is if there is any central cyanosis, it doesn't fall under the 1 category? Am I wrong? I am willing to change my practice if I can find documentation to back it. Any help will be appreciated.