New Ballard Score

Gestational Age
— Weeks
Select criteria below
Total Score
0
0 / 12 selected
Neuromuscular
0 / 24
Physical
0 / 26

Neuromuscular Maturity

6 Parameters
Posture
Not selected
-1 Posture -1
Flaccid / Total ext.
0 Posture 0
Arms & legs ext.
1 Posture 1
Slight hip flexion
2 Posture 2
Moderate flexion
3 Posture 3
Legs flexed, arms slight
4 Posture 4
Full 4-limb flexion
Square Window (Wrist Flexion)
Not selected
-1 Square Window -1
> 90°
0 Square Window 0
90°
1 Square Window 1
60°
2 Square Window 2
45°
3 Square Window 3
30°
4 Square Window 4
Arm Recoil
Not selected
-1 Arm Recoil -1
No recoil / 180°
0 Arm Recoil 0
180°
1 Arm Recoil 1
140°–180°
2 Arm Recoil 2
110°–140°
3 Arm Recoil 3
90°–110°
4 Arm Recoil 4
< 90°
Popliteal Angle
Not selected
-1 Popliteal Angle -1
180°
0 Popliteal Angle 0
160°
1 Popliteal Angle 1
140°
2 Popliteal Angle 2
120°
3 Popliteal Angle 3
100°
4 Popliteal Angle 4
90°
5 Popliteal Angle 5
< 90°
Scarf Sign
Not selected
-1 Scarf Sign -1
Past opp. axilla
0 Scarf Sign 0
Opp. axillary line
1 Scarf Sign 1
Between opp. & mid
2 Scarf Sign 2
At midline
3 Scarf Sign 3
Same-side axilla
4 Scarf Sign 4
< Same-side line
Heel to Ear
Not selected
-1 Heel to Ear -1
Past ear / flat
0 Heel to Ear 0
To ear
1 Heel to Ear 1
Near ear
2 Heel to Ear 2
Nose level
3 Heel to Ear 3
Chin level
4 Heel to Ear 4
Chest level

Physical Maturity

6 Parameters
Skin
Not selected
-1
Sticky, friable, transparent
0
Gelatinous, red, translucent
1
Smooth, pink; visible veins
2
Superficial peeling / rash; few veins
3
Cracking, pale areas; rare veins
4
Parchment, deep cracking; no vessels
5
Leathery, cracked, wrinkled
Lanugo
Not selected
-1
None
0
Sparse
1
Abundant
2
Thinning
3
Bald areas
4
Mostly bald
Plantar Surface
Not selected
-2
Heel-toe < 40 mm
-1
Heel-toe 40–50 mm
0
> 50 mm, no crease
1
Faint red marks
2
Anterior transverse crease only
3
Creases anterior 2/3
4
Creases over entire sole
Breast
Not selected
-1
Imperceptible
0
Barely perceptible
1
Flat areola, no bud
2
Stippled areola, 1–2 mm bud
3
Raised areola, 3–4 mm bud
4
Full areola, 5–10 mm bud
Eye / Ear
Not selected
-2
Lids fused tightly
-1
Lids fused loosely
0
Lids open; pinna flat, stays folded
1
Slightly curved pinna; soft; slow recoil
2
Well curved pinna; soft, ready recoil
3
Formed and firm, instant recoil
4
Thick cartilage, ear stiff
Genitalia
Not selected
-1
Scrotum flat, smooth
0
Scrotum empty, faint rugae
1
Testes in upper canal, rare rugae
2
Testes descending, few rugae
3
Testes down, good rugae
4
Testes pendulous, deep rugae