MATURATIONAL ASSESSMENT OF GESTATIONAL AGE (New Ballard Score)

NEUROMUSCULAR
MATURITY
SCORE
SCORE RECORD
NEUROMUSCULAR Neuromuscular 17
MATURITY SIGN
SCORE
HERE
Physical 11
-1 0 1 2 3 4 5
Total 28

POSTURE 4
MATURITY RATING

SQUARE WINDOW SCORE WEEKS

(Wrist)
3
>90° 90° 60° 45° 30° 0° -10 20

-5 22
ARM RECOIL 4
180° 140 –180° 110 –140° 90 –110° <90° 0 24

5 26
POPLITEAL ANGLE 2
180° 160° 140° 120° 100° 90° <90° 10 28

SCARF SIGN 1 15 30

20 32

HEEL TO EAR 3 25 34

30 36
TOTAL NEUROMUSCULAR
MATURITY SCORE 17 35 38

PHYSICAL MATURITY 40 40

SCORE RECORD 45 42
PHYSICAL
MATURITY SIGN
SCORE
HERE 50 44

-1 0 1 2 3 4 5
sticky gelatinous
smooth pink
superficial cracking parchment leathery GESTATIONAL AGE
SKIN friable red
visible veins
peeling & / or pale areas deep cracking cracked 0 (weeks)
transparent translucent rash, few rare veins no vessels wrinkled
veins By dates 34 Weeks

LANUGO By ultrasound
none sparse abundant thinning bald areas mostly bald 2
By exam 35 Weeks
heel-toe anterior
>50 mm faint creases creases over
PLANTAR 40–50 mm: -1 no crease red marks transverse ant. 2/3 entire sole 3
SURFACE < 40 mm: crease only
-2

barely flat areola stippled areola raised areola full areola

BREAST imperceptible
perceptible no bud 1–2 mm bud 3–4 mm bud 5–10 mm 2
bud
lids fused lids open sl. curved well-curved
EYE / EAR loosely: -1 pinna flat pinna; soft; pinna; soft but formed & firm thick cartilage 3
stays slow recoil instant recoil ear stiff
tightly: -2 ready recoil
folded
testes in testes testes
GENITALS scrotum flat, scrotum empty upper canal testes down
descending pendulous
(Male) smooth faint rugae rare rugae good rugae
few rugae deep rugae
clitoris prominent prominent majora & majora
GENITALS clitoris & majora large
(Female)
prominent clitoris & enlarging minora equally
minora small cover 1
& labia flat small labia minora prominent clitoris &
minora minora