Newborns can be assessed clinically using the Apgar score test to quickly and summarily assess newborn physical condition health immediately after delivery and determine any immediate need for extra medical or emergency care. This study aims to determine Apgar score factors among newborns delivered by cesarean sections and Apgar score elements.

Researchers conducted an institutional-based cohort study design. Researchers included all eligible study participants. Data was entered into Epi Info version 7 computer software by investigators and was transported to SPSS version 20 computer program for analysis.

Researchers included a total of 354 newborn babies in the study. The majority of babies had low Apgar scores at one minute and a high Apgar score at five minutes. About 30.2% of newborn babies had an Apgar score below seven minutes. On the other hand, about 12.8% of all newborns had low Apgar scores at five minutes.

The study concluded that newborn babies have a low Apgar score at one minute than five minutes. But a low Apgar score at five minutes has a long-term sequel. Therefore, it is essential to reduce factors associated with the low Apgar scores at both minutes.