The neonatal Apgar score is a method used to assess neonatal asphyxia and hypoxia and is now an internationally accepted, simple and practical method. The assessment consists of five indicators: skin color, heart rate, response to stimulation, muscle tone and respiration, each with a score of 0-2, for a total of 10 points, assessed at 1, 5 and 10 minutes after birth. 8-10 is considered normal, 4-7 is mild asphyxia and 0-3 is severe asphyxia. The 1-minute score reflects the severity of asphyxia and the 5-minute score reflects the effectiveness of resuscitation after asphyxia and can help determine the prognosis to some extent. However, Apgar score is no longer the only criterion for the diagnosis of neonatal hypoxia and neonatal hypoxic-ischemic encephalopathy, but also the neurological response of the child after birth, blood gas analysis, cranial ultrasound and other tests.