MedCalc: Ballard Maturational Assessment of Gestational Age

NEUROMUSCULAR MATURITY
NEUROMUSCULAR
MATURITY SIGN
SCORE RECORD SCORE HERE
-1 0 1 2 3 4 5
POSTURE    
 
SQUARE WINDOW
(Wrist)
 
 
ARM RECOIL    
 
POPLITEAL ANGLE
 
SCARF SIGN  
 
HEEL TO EAR  
 
TOTAL NEUROMUSCULAR
MATURITY SCORE
 

 
SCORE
Neuromuscular:
 
Physical:
 
Total:
 

MATURITY RATING
score weeks

PHYSICAL MATURITY
PHYSICAL
MATURITY SIGN
SCORE RECORD SCORE HERE
-1 0 1 2 3 4 5
SKIN sticky, friable, transparent gelatinous, red, translucent smooth pink, visible veins superficial peeling &/or rash, few veins cracking, pale areas, rare veins parchment, deep cracking, no vessels leathery, cracked, wrinkled
 
LANUGO none sparse abundant thinning bald areas mostly bald  
 
PLANTAR SURFACE heel-toe
40-50 mm: -1
<40 mm: -2
>50 mm
no crease
faint red marks anterior transverse crease only creases ant. 2/3 creases over entire sole  
 
BREAST imperceptable barely perceptable flat areola
no bud
stippled areola
1-2 mm bud
raised areola
3-4 mm bud
full areola
5-10 mm bud
 
 
EYE / EAR lids fused
loosely: -1
tightly: -2
lids open
pinna flat
stays folded
sl. curved pinna; soft; slow recoil well-curved pinna; soft but ready recoil formed & firm
instant recoil
thick cartilage
ear stiff
 
 
GENITALS
(Male)
scrotum flat, smooth scrotum empty,
faint rugae
testes in upper canal,
rare rugae
testes descending,
few rugae
testes down,
good rugae
testes pendulous,
deep rugae
 
 
GENITALS
(Female)
clitoris prominent & labia flat prominent clitoris & small labia minora prominent clitoris & enlarging minora majora & minora equally prominent majora large,
minora small
majora cover clitoris & minora  
 
TOTAL PHYSICAL
MATURITY SCORE
 

References :
Ballard JL, Khoury JC, Wedig K, et al: New Ballard Score, expanded to include extremely premature
infants. J Pediatrics 1991; 119:417-423.


Created: Sunday, July 22, 2000
Last Modified: