October 23, 2025

What Does a Low Apgar Score Mean? Understanding Medical Negligence and Newborn Health in Texas

Aldous Law

A low Apgar score shortly after birth can be an early indicator that a newborn may need urgent medical attention. While some low scores result from natural complications, others may point to preventable medical errors during labor or delivery, such as delayed response to fetal distress or improper use of medical instruments.

At Aldous Law, we help families understand their rights when medical mistakes impact a newborn. Filing a medical negligence claim can provide your baby with the care and resources they may need such as specialized medical treatment to long-term support. Reach out to our birth injury attorneys today to discuss your claim and protect your child’s future.

What Does a Low Apgar Score Mean for Newborns?

A low Apgar score is a term used to describe when a newborn shows signs of distress or difficulty adjusting to life outside the womb. This score is typically determined within the first minutes after birth, usually at one and five minutes, giving doctors an early indication of the baby’s overall condition. 

A low apgar score means that the baby is experiencing trouble with breathing, heart function, muscle tone, or circulation, and may require immediate medical attention to stabilize their health. While some babies recover quickly, a low Apgar score can signal a serious condition that needs careful monitoring and care in the crucial hours after delivery.

How Apgar Scores Are Measured

The Apgar test is a quick assessment performed on a newborn at one and five minutes after birth to evaluate their immediate health and need for medical attention. 

It measures five key areas: 

  • Heart rate
  • Breathing 
  • Muscle tone
  • Reflex response
  • Skin color

Each area is then given a score of 0, 1, or 2, which is then added together for a total score ranging from 0 to 10. 

  • A score of 7 to 10 generally indicates that the baby is adjusting well
  • A score of 4 to 6 may suggest that the baby needs some medical support
  • A score of 3 or below signals a critical condition requiring urgent intervention 

The test provides doctors with a fast, standardized way to understand a newborn’s health and determine whether immediate care is necessary.

When is a Score Considered Low?

Low Apgar scores happen when a newborn has difficulty adjusting to life outside the womb, which can be caused by natural medical complications or preventable errors during delivery. These factors can affect a baby’s breathing, heart function, muscle tone, or overall responsiveness, sometimes requiring immediate medical attention.

Common Causes of Low Apgar Scores

Low Apgar scores in newborns are often caused by a combination of medical conditions and complications as well as potential medical mistakes during delivery. 

Medical Conditions or Complications

Medical factors that contribute include premature birth, which often results in underdeveloped organs and reduced ability to adapt to life outside the womb. Oxygen deprivation during labor or delivery (birth asphyxia) can severely affect the baby’s heart rate, muscle tone, and breathing effort. Infections affecting the mother or baby before or during birth may also impact the infant’s responsiveness. Congenital issues such as genetic or structural abnormalities can additionally cause a diminished Apgar score.

Potential Medical Mistakes During Delivery

On the medical errors side, delayed or missed cesarean sections can prolong delivery and increase fetal distress. Inadequate or improper monitoring of the mother and fetus throughout labor can fail to detect signs of distress early enough for intervention. Misuse or excessive force with delivery instruments like forceps or vacuum extractors may physically harm the baby or provoke complications that show up as low Apgar scores.

Can Medical Negligence Lead to a Low Apgar Score?

Medical negligence during labor and delivery can factor into a newborn receiving a low Apgar score. When doctors, nurses, or other medical staff fail to follow proper procedures, delay critical interventions, or mishandle delivery tools, it can put a baby at risk of oxygen deprivation, trauma, or other serious complications that affect their immediate health. 

Signs of Negligence in Labor and Delivery

  • Failure to monitor the baby’s heart rate or signs of distress: Missing warning signs that a baby is struggling can lead to oxygen deprivation and other serious complications.
  • Delays in performing a necessary C-section:Postponing a cesarean when required can increase the risk of birth injuries and low Apgar scores.
  • Improper use of delivery tools such as forceps or vacuum extraction: Incorrect use of instruments can cause physical trauma or compromise the baby’s stability at birth.
  • Ignoring maternal complications that could affect the baby: Overlooking issues like high blood pressure, infections, or excessive bleeding may directly impact the newborn’s health.
  • Postponing resuscitation or immediate post-birth care: Delays in emergency intervention can worsen a baby’s condition and increase the likelihood of long-term health problems.

How Negligence Impacts a Newborn’s Health

When medical negligence occurs during labor or delivery, it can have immediate and long-term complications for a newborn’s health. Oxygen deprivation, physical trauma, or delayed medical intervention can contribute to low Apgar scores and increase the risk of conditions such as hypoxic-ischemic encephalopathy, cerebral palsy, or other developmental complications. 

Even brief lapses in care can affect a baby’s ability to breathe, maintain heart function, and stabilize after birth. Understanding how medical negligence impacts a newborn shows how important careful monitoring, timely decisions, and proper medical practices are during delivery. Working with a dedicated birth injury attorney ensures that no detail of your labor and delivery goes unnoticed when filing a medical malpractice claim.

Long-Term Health Effects of a Low Apgar Score

A low Apgar score can mean that a child may need more medical attention as they grow, such as physical therapy, occupational therapy, or special pediatric care. However, not all children with low Apgar scores go on to have long-term problems, especially if they get the care and support they need early on.

Long term care can be costly, that’s why it’s important for families to understand their legal options if preventable medical errors may have played a role in their child’s condition. 

Legal Options for Texas Families Facing Birth Injuries

Families in Texas who have experienced birth injuries have multiple legal options to pursue compensation. Each of these options can significantly impact the financial resources available to cover medical treatment, therapy, adaptive equipment, and other essential services that support a child’s development and quality of life. 

Birth injury claims can provide compensation for medical expenses, ongoing therapies, and specialized care required due to complications at birth. These claims must be filed within two years from the date of the incident. 

Medical negligence or malpractice lawsuits allow families to hold healthcare providers accountable for mistakes during labor or delivery, potentially increasing the compensation available for long-term care and support. These claims must be filed within two years from the date of the incident or the date of the last treatment. 

How Aldous Law Supports Families in Birth Injury Cases

At Aldous Law, we are dedicated to helping families navigate the difficult and often overwhelming experience of a birth injury. We guide parents through every step of the legal process, from understanding your rights to pursuing compensation that can cover medical care, therapy, and long-term support for your child. 

Our team has successfully handled numerous birth injury cases in Texas, achieving significant results for families whose newborns suffered due to medical negligence. Some of our notable outcomes include:

  • $7.3 million settlement for a baby whose fetal distress was ignored
  • $6.5 million result for permanent brain injury caused by inadequate monitoring
  • $5.7 million settlement for delayed C-section leading to permanent birth injury
  • $5.45 million result for timely C-section failures that caused brain injury. 

These results reflect our commitment to holding healthcare providers accountable and helping families secure the resources necessary to give their children the care and opportunities they deserve.

Protecting Newborn Health and Family Rights in Texas

If your child suffered a birth injury in Texas, you deserve answers and strong support. Aldous Law is here to help you understand your legal rights and pursue the resources your family needs for your child’s well-being. Reach out today for a free, confidential consultation. Our birth injury attorneys will guide you through the legal process and fight to secure the compensation your child deserves.

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The information on this website is attorney advertising for general information purposes only. Nothing on this site should be taken as advice for any individual case or situation. This information is not intended to create, and receipt or viewing does not constitute an attorney/client relationship. Charla G. Aldous, P.C. d/b/a Aldous Law
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