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Neonatology
New Ballard Score
Gestational age assessment in newborns
Input Parameters
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Posture
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Arms and legs extended (-1)
Slight flexion of hips and knees (0)
Moderate flexion of hips and knees (1)
Arms slightly flexed, legs flexed (2)
Full flexion of arms and legs (3)
Full flexion, tight (4)
Square Window (Wrist)
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>90° (-1)
90° (0)
60° (1)
45° (2)
30° (3)
0° (4)
Arm Recoil
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No recoil (-1)
Slight recoil (0)
Weak/slow recoil (1)
Moderate recoil (2)
Strong recoil (3)
Very strong recoil (4)
Popliteal Angle
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180° (-1)
160° (0)
140° (1)
120° (2)
100° (3)
90° (4)
<90° (5)
Scarf Sign
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Elbow reaches opposite axilla (-1)
Elbow past opposite axilla (0)
Elbow to opposite axilla (1)
Elbow at midline (2)
Elbow does not reach midline (3)
Elbow at or near axilla (4)
Heel to Ear
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Heel reaches ear easily (-1)
Heel near ear (0)
Heel to nose (1)
Heel to chin (2)
Heel to nipple line (3)
Heel does not reach nipple (4)
Skin
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Sticky, transparent (-1)
Gelatinous, red, transparent (0)
Smooth pink, visible veins (1)
Superficial peeling, few veins (2)
Cracking, pale, rare veins (3)
Parchment, deep cracking (4)
Leathery, cracked, wrinkled (5)
Lanugo
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None (-1)
Sparse (0)
Abundant (1)
Thinning (2)
Bald areas (3)
Mostly bald (4)
Plantar Surface
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Heel-toe <40mm (-2)
Heel-toe 40-50mm (-1)
Faint red marks (0)
Anterior transverse crease only (1)
Creases on anterior 2/3 (2)
Creases over entire sole (3)
Breast
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Imperceptible (-1)
Barely perceptible (0)
Flat areola, no bud (1)
Stippled areola, 1-2mm bud (2)
Raised areola, 3-4mm bud (3)
Full areola, 5-10mm bud (4)
Eye/Ear
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Lids fused, loosely -1 (-1)
Lids open, pinna flat (0)
Slightly curved pinna, soft (1)
Well-curved pinna, soft but ready recoil (2)
Formed and firm, instant recoil (3)
Thick cartilage, ear stiff (4)
Genitals (Male)
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Scrotum flat, smooth (-1)
Scrotum empty, faint rugae (0)
Testes in upper canal, rare rugae (1)
Testes descending, few rugae (2)
Testes down, good rugae (3)
Testes pendulous, deep rugae (4)
Genitals (Female)
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Clitoris prominent, labia flat (-1)
Prominent clitoris, small labia minora (0)
Prominent clitoris, enlarging minora (1)
Majora and minora equally prominent (2)
Majora large, minora small (3)
Majora cover clitoris and minora (4)
Clinical Note (Optional)
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