New Ballard Score App For Clinical Use

New Ballard Score Calculator

Neuromuscular Maturity

Posture:

Select the Value 0 1 2 3 4

Square Window (Wrist):

Select the Value >90° 90° 60° 45° 30° 0°

Arm Recoil:

Select the Value 180° 140°-180° 110°-140° 90°-110° <90°

Popliteal Angle:

Select the Value 180° 160° 140° 120° 100° 90° <90°

Scarf Sign:

Select the Value Full arm across neck Hand does not reach shoulder Hand to shoulder level Hand to axilla Hand to hip Elbow reaches midline

Heel to Ear:

Select the Value Heel easily reaches ear Heel close to ear Heel halfway to ear Heel 3/4 to ear Heel far from ear Heel reaches mid-torso

Physical Maturity

Skin: Select the Value Sticky friable transparent Gelatinous red translucent Smooth pink, visible veins Superficial peeling, few veins Cracking, pale areas Parchment, deep cracking Leathery, cracked, wrinkled

Lanugo: Select the Value None Sparse Abundant Thinning Bald areas Mostly bald

Plantar Surface: Select the Value < 40 mm: No crease 40-50 mm: Faint red marks Anterior transverse crease only Faint red marks Creases anterior 2/3 Creases over entire sole

Breast: Select the Value Imperceptible Barely perceptible Flat areola, no bud Stippled areola, 1-2 mm bud Raised areola, 3-4 mm bud Full areola, 5-10 mm bud

Eye / Ear: Select the Value Lids fused, tightly Lids fused, loosely Pinna flat, stays folded Slightly curved pinna, soft, slow recoil Well-curved pinna, soft but ready recoil Formed and firm, instant recoil Thick cartilage, ear stiff

Male Genitals: Select the Value 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

Female Genitals: Select the Value Clitoris prominent, labia flat Clitoris prominent, small labia minora Labia minora prominent Labia majora, minora equally prominent Labia majora large, minora small Labia majora cover clitoris, minora

Total Score	-10	-5	0	5	10	15	20	25	30	35	40	45	50
Gestational Age (Weeks)	20	22	24	26	28	30	32	34	36	38	40	42	44

App Information for Users

About This New Ballard Score App

The New Ballard Score app is designed for healthcare professionals to assess the gestational age of newborns. This app combines neuromuscular and physical maturity scoring systems to provide a comprehensive evaluation. It is a reliable tool to determine the gestational age, especially for premature infants. The app allows users to select and adjust scoring options as needed and calculates the total score and corresponding gestational age automatically.

How to Use This App

To use the New Ballard Score app, follow these steps:

1. Start by entering the baby's information, including name, sex, hospital number, date and time of examination, and other relevant details.
2. Proceed to assess the baby using the Neuromuscular and Physical Maturity sections. Select the appropriate values for each criterion.
3. If any section is incomplete, an alert will notify you before calculating the score.
4. Once all sections are complete, click the "Calculate" button to obtain the total score and gestational age.
5. You can share, print, or save the results using the corresponding buttons.
6. To reset the form and start over, click the "Reset" button.

Who This App Is Made For

This app is intended for use by pediatricians, neonatologists, and other healthcare professionals involved in newborn care. It is specifically designed for clinical settings where accurate assessment of gestational age is crucial.

Device Suitability

This app is not optimized for mobile phones and is best used on larger screens such as tablets or desktop computers. For optimal viewing and usability, it is recommended to use the app on a tablet (e.g., iPad) in horizontal (landscape) orientation.