New ballard score

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

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

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

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

4. Jeanne L. Ballard MD, author of the New Ballard Score.

5. Neuromuscular Maturity POSTURE SQUARE WINDOW ARM RECOIL POPLITEAL ANGLE SCARF SIGN HEEL TO EAR

6. 1.POSTURE

7. 2. SQUARE WINDOW

8. 3. ARM RECOIL

9. 4. POPLITEAL ANGLE

10. 5. SCARF SIGN

11. 6.HEEL TO EAR

12. Physical Maturity SKIN LANUGO PLANTAR SURFACE BREAST EYE / EAR GENITALS

13. 1. SKIN

14. 2. LANUGO

15. 3. PLANTAR SURFACE

16. 4. BREAST

17. 5. EYE / EAR

18. 6.GENITALS-MALE

19. 6. GENITALS-FEMALE

20. Other methods

21. 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 -1

22. 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 7 th day in late preterms ) EYES Not included included

23. THANK YOU