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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 -10 20 -5 22 0 24 5 26 10 28 15 30 20 32 25 34 30 36 35 38 40 40 45 42 50 44

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