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The Virginia Apgar Papers

Letter from Virginia Apgar to Hans Karl Wendl pdf (56,001 Bytes) transcript of pdf
Letter from Virginia Apgar to Hans Karl Wendl
The Apgar method of evaluating newborns was adopted in hospitals all over the world. In this letter, Apgar responded to Wendl's letter about the German version of the scoring system and made a few suggestions.
NOTE: Handwritten text at bottom of page reads: "Intragastric Oxygen, 2 parts, Hazards to Continuum of Genetic Potential."
Number of Image Pages:
1 (56,001 Bytes)
1963-11-22 (November 22, 1963)
Apgar, Virginia
Wendl, Hans Karl
Frauenklinik Finkenau
Original Repository: Mount Holyoke College. Archives and Special Collections. Virginia Apgar Papers [MS 0504]
Reproduced with permission of Peter A. Apgar.
Medical Subject Headings (MeSH):
Apgar Score
Infant, Newborn
Exhibit Category:
Second Career: The National Foundation-March of Dimes, 1959-1974
Metadata Record Letter from Hans Karl Wendl to Virginia Apgar (November 6, 1963) pdf (71,894 Bytes) transcript of pdf
Box Number: 12
Folder Number: 5
Unique Identifier:
Document Type:
Letters (correspondence)
Physical Condition:
Series: Apgar Score Material 1959-1973
Folder: Correspondence 1963
November 22, 1963
Dear Doctor Wendl:
I am certainly surprised and pleased to see the newborn scoring system in German! The only suggestion I have is in the last line, Farbe. The score 1 is meant to describe a baby with blue hands and feet, and a pink body, a common situation. Would it be well to add the word "extremitaten" to that description?
No, there have been no fundamental changes in the scoring system since 1953. However, since some clinics do not have a catheter in the delivery room equipment, an alternative method of eliciting reflexes is in use. This consists simply of slapping the feet briskly.
In a U.S. Government study of 20,000 babies it has been found useful prognostically, to apply the score several times, such as 3, 5, 10 and 15 minutes, as well as at 60 seconds. In fact, it turned out, to my surprise, that the development of neurological disorders was closely correlated to the score at one minute.
I am taking the liberty of including a few more reprints. Thank you for your efforts to introduce the score in Hamburg.
Sincerely yours,
Virginia Apgar, M.D., M.P.H.
Director, Division of Congenital Melformations
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