new ballard score for practical and academic purpose for interns and pg residents

1. NEONATAL MATURATIONAL
EXAMINATION
-Dr Sanchita Dhawan
DNB trainee 1st year
Department of paediatrics

3.  Gestational age of a fetus or of a newborn can be
assessed currently by three different methods:
I. the mother's menstrual history,
II. prenatal ultrasonography and
III. the postnatal maturational examination.

4.  The maturational examination, a postnatal, indirect
method of assessing gestational age, is based upon
indicators of fetal neuromuscular and physical
maturation.

5.  Jeanne L. Ballard MD, author
of the New Ballard Score.

6. Neuromuscular Maturity
1. POSTURE
2. SQUARE WINDOW
3. ARM RECOIL
4. POPLITEAL ANGLE
5. SCARF SIGN
6. HEEL TO EAR

7. 1.POSTURE

8. 2. SQUARE WINDOW

9. 3. ARM RECOIL

10. 4. POPLITEAL ANGLE

11. 5. SCARF SIGN

12. 6.HEEL TO EAR

14. Physical Maturity
1. SKIN
2. LANUGO
3. PLANTAR SURFACE
4. BREAST
5. EYE / EAR
6. GENITALS

15. 1. SKIN

16. 2. LANUGO

17. 3. PLANTAR SURFACE

18. 4. BREAST

19. 5. EYE / EAR

21. 6.GENITALS-MALE

22. 6. GENITALS-FEMALE

25. Other methods

26. COMPARISION BETWEEN ORIGINAL AND
NEW BALLARD SCORE
ORIGINAL NEW
Scores range
from
5 to 50 -10 to 50
Gestational
age
26 to 44
weeks
20 to 44
weeks
Score starts
with
0 -1

27. ORIGINAL NEW
ACCURACY Inaccurate in
extreme
preterms
More
accurate
Optimal age
for
assessment
Between 30
and 42 hours
of age
Birth to 96
hours
(upto 7th day in
late preterms)
EYES Not included included

28. THANK YOU