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Calcimator

Neonatal Gestational Age Calculator

Estimate gestational age using a simplified Ballard physical maturity score.

Inputs

Results

Physical Maturity Score

12

Estimated Gestational Age

34 weeks

How to Use This Calculator
  1. Assess the newborn's physical maturity across six criteria and score each from 1 (immature) to 5 (mature).
  2. Skin: score 1 = sticky/transparent, 3 = smooth/pink/visible veins, 5 = leathery/cracked/no visible veins.
  3. Lanugo: score 1 = abundant, 3 = thinning, 5 = mostly bald. Plantar surface: score 1 = no creases, 5 = creases over entire sole.
  4. Score Breast, Ear/Eye recoil, and Genitals maturity similarly from 1–5 based on the bedside Ballard criteria.
  5. Review the Total Physical Score and Estimated Gestational Age in weeks — compare to stated gestational age to guide care decisions.

What each input means

Skin
1 = Sticky/transparent, 3 = Smooth/pink, 5 = Leathery/cracked.
Lanugo
1 = Abundant, 3 = Thinning, 5 = Mostly bald.
Plantar Surface
1 = No crease, 3 = Anterior transverse crease, 5 = Creases over entire sole.
Breast
1 = Imperceptible, 3 = Raised areola/3-4mm bud, 5 = Full areola/5-10mm bud.
Ear/Eye
1 = Flat/stays folded, 3 = Curved/soft recoil, 5 = Firm/instant recoil.
Genitals
1 = Immature, 3 = Moderate maturity, 5 = Fully mature.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Skin = 3, Lanugo = 3, Plantar Surface = 3, Breast = 3 = 6 input(s) provided
  2. Calculate Physical Maturity Score
    Physical Maturity Score
    12 = 12

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