Ballard Scoring

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SIGN Posture Square Window Arm Recoil Popliteal Angle Scarf Sign Heel To Ear

SCORE -1 0

SIGN SCORE

TOTAL NEUROMUSCULAR SCORE

PHYSICAL MATURITY SCORE SIGN -1 0 1

4 parchm ent, deep crackin g, no vessels

5 leathe ry, cracke d, wrinkl ed

SIGN SCO RE

Skin

superfici cracki al Sticky, gelatino smooth ng, peeling friable, us, red, pink, pale &/or transparen transluc visible areas, rash, t ent veins rare few veins veins sparse

Lanug none o

abunda bald mostly thinning nt areas bald

heel-toe Planta 40-50mm: >50 mm faint r -1 no red Surfac <40mm: - crease marks e 2 barely flat impercept Breast percepta areola able ble no bud lids lids fused open Eye / loosely: - pinna Ear 1 flat tightly: -2 stays folded

sl. curved pinna; soft; slow recoil testes testes testes Genita scrotum in testes scrotum descendi pendulo ls empty, upper down, flat, ng, us, (Male faint canal, good smooth few deep ) rugae rare rugae rugae rugae rugae promin promine majora major ent majora Genita clitoris nt & a clitoris cover ls prominent clitoris minora large, & clitoris (Fema & labia & small equally minor enlargi & le) flat labia promine a ng minora minora nt small minora TOTAL PHYSICAL MATURITY SCORE

anterior creases transver crease over se s ant. entire crease 2/3 sole only raised stippled full areola areola areola 3-4 1-2 mm 5-10 mm bud mm bud bud wellforme curved thick d& pinna; cartilag firm soft but e instant ready ear stiff recoil recoil

MATURITY RATING TOTAL SCORE (NEUROMUSCULAR + PHYSICAL) -10 -5 0 5 10 15 20 25 30 35 40 45 50

WEEKS 20 22 24 26 28 30 32 34 36 38 40 42 44

References : Ballard JL, Khoury JC, Wedig K, et al: New Ballard Score, expanded to include extremely premature infants. J Pediatrics 1991; 119:417-423. Ballard Score. All rights reserved. Design by NodeThirtyThree. Partner Links

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