A score in the 4-6 range indicates that the neonate is having difficulty adapting to extrauterine life, which in some cases may be related to medications given to the mother during labor, prematurity, or a rapid delivery.
Tubal pregnancies occur slightly less than 20 times out of 1,000 pregnancies, which is a small percentage, but the effects of extrauterine pregnancy can be very dangerous, making prompt medical attention desirable.