Ballard Maturational Assessment of Gestational Age

NEUROMUSCULAR MATURITY

NEUROMUSCULAR MATURITY SIGN POSTURE SQUARE WINDOW (Wrist) ARM RECOIL POPLITEAL ANGLE SCARF SIGN HEEL TO EAR

SCORE -1 0 1 2 3 4 5

RECORD SCORE HERE

TOTAL NEUROMUSCULAR MATURITY SCORE

PHYSICAL MATURITY

PHYSICAL MATURITY SIGN SKIN LANUGO PLANTAR SURFACE BREAST EYE / EAR GENITALS (Male) GENITALS (Female)

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

RECORD SCORE HERE

MATURITY RATING TOTAL SCORE (NEUROMUSCULAR WEEKS + PHYSICAL) -10 -5 0 5 10 15 20 25 30 35 40 45 50 20 22 24 26 28 30 32 34 36 38 40 42 44

SCORE Neuromuscular: Physical: Total: