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Study Parameters: neuromuscular maturity: 6 parameters physical maturity: 7 parameters Neuromuscular Maturity 0 posture 1 2 3 4 elbows & legs bent and drawn close to body 0 5 NA
wrists arms wrists bent elbows hips elbows hips hips and and legs and legs and legs legs straight slightly bent bent but do bent to 90 not reach 90 90 60 45 30
NA
NA 160
110-180 130
NA < 90 NA
heel to ear
leg straight knee slightly knee bent knee bent to knee bent toes reach bent heel heel reaches 90 heel heel chin reaches 120 from reaches 90 reaches 45 140 from prone from prone from prone prone Physical Maturity 0 1 2 3 cracking pale areas rare veins bald areas 4 parchment deep cracking no vessels mostly bald creases over entire sole
NA
skin
gelatinous smooth pink superficial red visible veins peeling &/or translucent rash few veins none no crease abundant faint red marks thinning
breast
flat areola no bud slightly curved pinna soft with slow recoil NA
stippled raised full areola 5 areola 1 mm areola 3 mm mm bud bud bud well-curved pinna soft with ready recoil formed & firm with instant recoil thick cartilage ear stiff
NA
ear
NA
genitals male
testes testes down testes descend-ing good rugae pendulous few rugae deep rugae majora & minora equally prominent majora large majora minora cover clitoris small & minora
NA
genitals female
NA
NA
Ballard Score = = SUM (points for each parametet) Interpretation: minimum score: 0 maximum score: 54 Correlation of score with gestational age Score 5 10 15 20 25 30 35 40 45 50 References: Ballard JL Novak KK Driver M. A simplified score for assessment of fetal maturation of newly born infants. J Pediatr. 1979; 95: 769-774. Week 26 28 30 32 34 36 38 40 42 44