Ballard Maturational Assessment of Gestational Age
NEUROMUSCULAR MATURITY
NEUROMUSCU
LAR
MATURITY
SIGN
SCORE
-1
0
1
2
3
4
RECOR
D
SCORE
HERE
5
POSTURE
SCORE
Neuromuscula
r:
Physical:
Total:
MATURITY
RATING
SQUARE
WINDOW
(Wrist)
scor
e
week
s
-10
20
-5
22
0
24
5
26
10
28
15
30
20
32
25
34
30
36
35
38
mostly bald
40
40
anterior
creases
creases ant.
transverse
over entire
2/3
crease only
sole
45
42
50
44
ARM RECOIL
POPLITEAL
ANGLE
SCARF SIGN
HEEL TO EAR
TOTAL NEUROMUSCULAR
MATURITY SCORE
PHYSICAL MATURITY
PHYSICAL
MATURITY SIGN
SKIN
SCORE
-1
sticky, friable,
transparent
0
gelatinous,
red,
translucent
1
2
3
4
superficial
parchment,
smooth
cracking,
peeling &/or
deep
pink, visible
pale areas,
rash, few
cracking, no
veins
rare veins
veins
vessels
LANUGO
none
sparse
abundant
thinning
bald areas
PLANTAR
SURFACE
heel-toe
40-50 mm: -1
<40 mm: -2
>50 mm
no crease
faint red
marks
BREAST
imperceptable
barely
perceptable
flat areola
no bud
stippled
raised
areola
areola
1-2 mm bud 3-4 mm bud
full areola
5-10 mm
bud
lids open
sl. curved
pinna flat
pinna; soft;
stays folded slow recoil
well-curved
formed &
pinna; soft
firm
but ready
instant recoil
recoil
thick
cartilage
ear stiff
EYE / EAR
lids fused
loosely: -1
tightly: -2
GENITALS
(Male)
scrotum flat,
smooth
scrotum
testes in
testes
testes
testes down,
empty,
upper canal, descending,
pendulous,
good rugae
faint rugae rare rugae
few rugae
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
5
leathery,
cracked,
wrinkled
majora
cover clitoris
& minora
TOTAL PHYSICAL
MATURITY SCORE
RECORD
SCORE
HERE