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Ballard Score

Ballard Maturational Assessment of Gestational Age

SCORE

Neuromuscular
 
Physical
 
Total
 

MATURITY RATING

Score
 
Weeks
 

More score:

Score Weeks

NEUROMUSCULAR MATURITY

RECORD SCORE HERE
Total score:  
Posture
 
Square Window (Wrist)
 
ARm Recoil
 
Popliteal Angle
 
Scarf Sign
 
Heel to Ear
 

NEUROMUSCULAR MATURITY SIGN

POSTURE

Score Posture
-1  
0
1
2
3
4
5  

SQUARE WINDOW (Wrist)

Score Square Window(Wrist)
-1
0
1
2
3
4
5  

ARM RECOIL

Score Arm Recoil
-1  
0
1
2
3
4
5  

POPLITEAL ANGLE

Score Popliteal Angle
-1
0
1
2
3
4
5

SCARF SIGN

Score Scarf Sign
-1
0
1
2
3
4
5  

HEEL TO EAR

Score Heel to Ear
-1
0
1
2
3
4
5  

PHYSICAL MATURITY

RECORD SCORE HERE
Total score:  
Skin
 
Lanugol
 
Plantar Surface
 
Breast
 
Eye / Ear
 
Genitals (Male)
 
Genitals (Female)
 

NEUROMUSCULAR MATURITY SIGN

SKIN

Score Skin
-1 sticky, friable, transparent
0 gelatinous, red, translucent
1 smooth pink, visible veins
2 superficial peeling &/or rash, few veins
3 cracking, pale areas, rare veins
4 parchment, deep cracking, no vessels
5 leathery, cracked, wrinkled

LANUGO

Score Lanugol
-1 none
0 sparse
1 abundant
2 thinning
3 bald areas
4 mostly bald
5  

PLANTAR SURFACE

Score Plantar Surface
-1 heel-toe
40-50 mm: -1
<40 mm: -2
0 >50 mm
no crease
1 faint red marks
2 anterior transverse crease only
3 creases ant. 2/3
4 creases over entire sole
5  

BREAST

Score Breast
-1 imperceptable
0 barely perceptable
1 flat areola
no bud
2 stippled areola
1-2 mm bud
3 raised areola
3-4 mm bud
4 full areola
5-10 mm bud
5  

EYE / EAR

Score Eye / Ear
-1 lids fused
loosely: -1
tightly: -2
0 lids open
pinna flat
stays folded
1 sl. curved pinna; soft; slow recoil
2 well-curved pinna; soft but ready recoil
3 formed & firm
instant recoil
4 thick cartilage
ear stiff
5  

GENITALS (Male)

Score Genitals (Male)
-1 scrotum flat, smooth
0 scrotum empty,
faint rugae
1 testes in upper canal,
rare rugae
2 testes descending,
few rugae
3 testes down,
good rugae
4 testes pendulous,
deep rugae
5  

GENITALS (Female)

Score Genitals (Female)
-1 clitoris prominent & labia flat
0 prominent clitoris & small labia minora
1 prominent clitoris & enlarging minora
2 majora & minora equally prominent
3 majora large,
minora small
4 majora cover clitoris & minora
5  

References:

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


DISCLAIMER

DISCLAIMER: All calculations must be confirmed before use. The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. Neither ValueMD nor any other party involved in the preparation or publication of this site shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.


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