The Apgar scoring system was adopted rapidly in the U.S. after 1960, but, as Poch's letter indicated, there were disputes
over who should do the actual scoring. Poch, a pediatrician who had trained with Apgar, thought it should be someone other
than the attending obstetrician.
Number of Image Pages:
1 (94,455 Bytes)
1966-02-10 (February 10, 1966)
Poch, Herbert E.
Saint Elizabeth Hospital
Original Repository: Mount Holyoke College. Archives and Special Collections. Virginia Apgar Papers [MS 0504]
Reproduced with permission of Herbert E. Poch.
Medical Subject Headings (MeSH):
Second Career: The National Foundation-March of Dimes, 1959-1974
Letter from Virginia Apgar to Herbert E. Poch (February 25, 1966)
A raging controversy has plagued the Department of Nursing and the Departments of Pediatrics and Obstetrics at our hospital
here in Elizabeth, New Jersey.
Being one of your former students, I am well acquainted with the importance of the Apgar Rating and it has been in use in
our institution for the last five to six years. However, it has been the custom here that the Obstetrician make the Apgar
Rating one minute after birth. As Chief of Pediatrics I have been arguing that this function should be taken over by the circulating
nurse in the Delivery Room.
In order to help settle our problem, I would sincerely appreciate your recommendations as to who should do the Apgar Rating,
as well as the exact timing.