I have a question about the Apgar Score. When a baby scores 0 on an Apgar at birth, what is protocol? I thought 0 meant the baby was dead? I had a patient today, according to his admission history he scored 0,0,0,1 on his Apgars. His mother was homeless, and presented to the ER in DKA and had previously tested positive for Cocaine, ETOH, and marijuana during her pregnancy (tested negative at delivery). They delivered this baby via emergency csection because of decels (late? I need to brush up on my OB). The baby is 2 months old.
I am honestly perplexed. This child has no gag reflex, his eyes don't track and he tremors constantly. He has also suffered from a brain bleed. I just wondered exactly what the Apgar tells you.