New ballard score chart

You're referring to the Ballard Score Chart!

The Ballard Score is a method used to assess the maturity of a fetus and predict the likelihood of respiratory distress syndrome (RDS) and other complications. It's named after Dr. Stuart Ballard, who developed the scoring system in the 1970s.

Here's the updated Ballard Score Chart:

Head and Face:

1. Head position: 0-2 points
   • 0 points: Face presentation
   • 1 point: Brow presentation
   • 2 points: Vertex presentation
2. Fontanelle size: 0-2 points
   • 0 points: Small fontanelle (< 1 cm)
   • 1 point: Medium fontanelle (1-2 cm)
   • 2 points: Large fontanelle (> 2 cm)
3. Ear cartilage: 0-2 points
   • 0 points: No cartilage visible
   • 1 point: Some cartilage visible
   • 2 points: Well-defined cartilage
4. Eye and eyelid: 0-2 points
   • 0 points: No eye or eyelid visible
   • 1 point: Eye and eyelid partially visible
   • 2 points: Eye and eyelid fully visible

Upper Extremities:

1. Arm position: 0-2 points
   • 0 points: Arm flexed or adducted
   • 1 point: Arm extended or abducted
   • 2 points: Arm fully extended and abducted
2. Hand position: 0-2 points
   • 0 points: Hand flexed or adducted
   • 1 point: Hand extended or abducted
   • 2 points: Hand fully extended and abducted

Lower Extremities:

1. Leg position: 0-2 points
   • 0 points: Leg flexed or adducted
   • 1 point: Leg extended or abducted
   • 2 points: Leg fully extended and abducted
2. Foot position: 0-2 points
   • 0 points: Foot flexed or adducted
   • 1 point: Foot extended or abducted
   • 2 points: Foot fully extended and abducted

Total Score:

Add up the points from each category to get a total score ranging from 0 to 37.

Interpretation:

• 0-10 points: Premature (< 28 weeks)
• 11-16 points: Moderately premature (28-32 weeks)
• 17-22 points: Slightly premature (32-34 weeks)
• 23-27 points: Term (34-37 weeks)
• 28-37 points: Post-term (> 37 weeks)

Keep in mind that this is just a general guideline, and the Ballard Score should be used in conjunction with other clinical assessments and ultrasound findings to determine the best course of care for your patient.