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Indian Journal of Maternal-Fetal & Neonatal Medicine

Volume  8, Issue 1, January-June 2021, Pages 33-36
 

Review Article

Postnatal Methods for Gestational Age Assessment in Newborns

1Mani Raj, 2Karthikeyan Kadirvel, 3Sumathisri Ramachandran

1Junior Resident, 2Associate Professor, 3Assistant Professor Department of Pediatrics, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Pondicherry 607402, India.

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DOI: http://dx.doi.org/10.21088/ijcd.2395.6631.8121.5

Abstract

The estimation of gestational age (GA) is important in planning appropriate treatment for the infant and to modify details of care. The development of many neonatal issues in the immediate postnatal period is dependent on gestational age. Hence its accurate assessment is essential for perinatal practice. The best estimate of GA is based on sonography if it is performed before 22 weeks of gestation. When a consistent date of last menstrual period (LMP) or an early sonographic report is not available, postnatal assessment methods of newborn maturity is required. Widely used Expanded new Ballard Score with physical and neurologic criteria is complex and needs trained personnel to execute. Scores using physical criteria alone are easy to perform, less time consuming and has good interobserver reliability. These can be performed reliably even by non-pediatricians compared to score containing both physical and neurological criteria.

Keywords: Gestational Age; Ultrasonography; New Ballard Score; Eregie Score; Parkin Score.


Corresponding Author : Karthikeyan Kadirvel