Oscaroscar you won't even notice the midwife doing the apgar scores on your baby girl. The apgar score is for a score out of ten which lets all medical/midwifery/MCHN the condition that your baby was when she was born. Like it's been mentioned it is for respiratory rate, heart rate, reflexes, colour and muscle tone. Each one of these catergories is scored between 0 -2 for certain parameters. It is all done by visual observation and won't involve bubby being removed from your chest unless she is in need of medical support for her breathing or heart rate.