When Virginia Apgar, MD, proposed her now-universal scoring system for newborns in 1953, her primary purpose was to get attention paid to the newborn because, as she wrote, “Nine months observation of the mother surely warrants one-minute observation of the baby.”1 After the national Collaborative Perinatal Study showed that low Apgar scores occurred more frequently in those who died in the neonatal period or had higher rates of neurological morbidity at 1 year of life, the Apgar score spread to where it is now assigned to newborns in almost every country in the world. A PubMed search for Apgar score yields almost 12 000 publications.