Score Sheet

Use this score sheet to assess the gestational maturity of your baby. At the end of the examination the total score determines the gestational maturity in weeks.

NEUROMUSCULAR MATURITY
SIGN SCORE SIGN SCORE
-1 0 1 2 3 4 5
Posture   posture posture posture posture posture    
Square Window square window square window square window square window square window square window    
Arm Recoil      
Popliteal Angle  
Scarf Sign    
Heel To Ear    

TOTAL NEUROMUSCULAR SCORE

 
PHYSICAL MATURITY
SIGN SCORE SIGN SCORE
-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
40-50mm: -1 <40mm: -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

 
 
MATURITY RATING
TOTAL SCORE 
(NEUROMUSCULAR + PHYSICAL)
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

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References :
Ballard JL, Khoury JC, Wedig K, et al: New Ballard Score, expanded to include extremely premature
infants. J Pediatrics 1991; 119:417-423.

Neuromuscular Maturity

Physical Maturity