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)
Wendl, Hans Karl
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):
Second Career: The National Foundation-March of Dimes, 1959-1974
Letter from Hans Karl Wendl to Virginia Apgar (November 6, 1963)
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
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.