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The APGAR test is done by a doctor, midwife, or nurse. The health care provider will examine the baby's: 1  Breathing effort. 2  Heart rate. 3  Muscle tone. 4  Reflexes. 5  Skin color.
Although the Apgar score was developed in 1952 by an anesthesiologist named Virginia Apgar, you also might hear it referred to as an acronym for: Appearance, Pulse, Grimace, Activity, and Respiration. The Apgar test is usually given to a baby twice: once at 1 minute after birth, and again at 5 minutes after birth. Sometimes, if there are concerns about the baby's condition or the score at 5 minutes is low, the test may be scored for a third time at 10 minutes after birth.