What are the components of the new Ballard score?
|SIGN||PHYSICAL MATURITY SCORE|
|Plantar Surface||heel-toe 40-50mm: -1 <40mm: -2||creases over entire sole|
|Breast||imperceptable||full areola 5-10 mm bud|
|Eye / Ear||lids fused loosely: -1 tightly: -2||thick cartilage ear stiff|
|Genitals (Male)||scrotum flat, smooth||testes pendulous, deep rugae|
What are the physical maturity assesses of the new Ballard scale?
The Dubowitz/Ballard Examination evaluates a baby’s appearance, skin texture, motor function, and reflexes. The physical maturity part of the examination is done in the first 2 hours of birth. The neuromuscular maturity examination is completed within 24 hours after delivery.
When should Ballard scoring be done?
. The Ballard score is based on the neonate’s physical and neuromuscular maturity and can be used up to 4 days after birth (in practice, the Ballard score is usually used in the first 24 hours). The neuromuscular components are more consistent over time because the physical components mature quickly after birth.
What are the criteria for assessment in the Ballard scoring system?
The New Ballard Score takes a look at six criteria of each and scores them on a scale from -1 to 5. The physical criteria are: the skin, lanugo, plantar surface, breast, eyes/ears, and the genitalia. The neuromuscular criteria are: the posture, square window, scarf sign, arm recoil, popliteal angle, and heel to ear.
How accurate is Ballard score?
The sensitivityof New Ballard score to identify premature baby was 87.7%,specificity 96.3%, positive predictive value 95.2% and negativepredictive value 90.2 %. Conclusions New Ballard score can be used to replace Ballardscore if LMP can not be assessed.
Why would a Ballard assessment be used instead of gestation age dating by LMP?
Because the Ballard score is accurate only within plus or minus 2 weeks, it should be used to assign gestational age only when there is no reliable obstetrical information about the estimated date of confinement or there is a major discrepancy between the obstetrically defined gestational age and the findings on …
When assessing gestational age using the new Ballard score how many points would be awarded for skin that appears transparent and is friable?
GESTATIONAL AGE ASSESSMENT The extremely premature infant has transparent, friable skin and would be awarded -1 points.
How is Ballard calculated?
The Ballard score is based on the neonate’s physical and neuromuscular maturity and can be used up to 4 days after birth (in practice, the Ballard score is usually used in the first 24 hours). The neuromuscular components are more consistent over time because the physical components mature quickly after birth.
When determining a newborn’s gestational age using the Ballard score which of these findings would indicate low neuromuscular maturity?
Rationale: When evaluating arm recoil, a sluggish response with little or no flexion indicates low neuromuscular maturity, whereas a brisk response with flexion indicates a higher degree of maturity.
What is the difference between LMP and gestational age?
Gestational age (GA) refers to the length of pregnancy after the first day of the last menstrual period (LMP) and is usually expressed in weeks and days. This is also known as menstrual age.
When assessing the plantar surface in Ballard scoring this pertains to the?
major foot creases
Plantar Surface Assessment using the Ballard Score This item pertains to the major foot creases on the sole of the foot.