Assessment of Gestational Age using New Ballard Examination in High-Risk Infants

고위험신생아에 있어 New Ballard Examination(NBE)을 이용한 재태기간 사정

  • 안영미 (인하대학교 의과대학 간호학과) ;
  • 이상미 (인하대학병원 신생아중환자실)
  • Published : 2002.04.01

Abstract

Knowing the accurate GA is critical in nursing care of high-risk newborns. A descriptive study was performed to examine the reliability and clinical applicability of the new Ballard examination (NBE) in high-risk infants. Method: A NBE was performed to measure GA by assessing the neuromuscular and physical maturity in the course of physical examination of a convenient sample of 50 high-risk infants. Results: 1) There was a highly correlation between both the GA by LMP (GA-LMP) and GA by NBE (GA-NBE) (r = .894, p = .000) 2) There was a greater positive relationship in neuromuscular maturity than physical maturity in the GA-NBE of the high-risk newborn (r = .657 versus r = .915, p <. 05). 3) The high-risk infants were thoes with congenital anomalies, prematurity, and RDS(Respiratory Distress Syndrome). Male infants showed a higher neuromuscular maturity, compared to female infants. 4) There was a positive correlation between neuromuscular, physical, total maturity, GA-LMP and GA-NBE in the birth weight, 1 minute Apgar score. Conclusion: The study supports the reliability an clinical relevance of NBE in assessment of the accurate GA in high-risk infants.

Keywords

References

  1. Kim, M. Y., Kwon, I. S., Kim, E. K., Kim, S. O., Kim, T. I., Song, I. S., Shin, S. S., Ahn, Y. M., Jung, K. A., Jung, S. E., Jho, K. C., & Choi, M. H. (1999). Pediatric nursing Seoul: Soomoonsa
  2. Ahn, Y. M., & Koo, H. Y. (1998). Assessment of gestational age by newborn Ballard examination. J Korean Acad Child Health Nurs, 4(1), 86-95
  3. Ballard, J. L., Novak, K. K., & Driver, M. (1979). A simplified score for assessment of fetal maturation of newly born infants.J Pediatrics, 95(5), 769-774
  4. Ballard, J. L., Khoury, J. C., Wedig, K., Wang, L., Eilers-Walsman, B. 1., & Lipp, R. (1991). New ballard score, expanded to include extremely premature infants. J Pediatrics, 119(3), 417-423
  5. Constantine, N. A., Kramer, H. C., Kendall-Tackett, K. A., Bennett, F. C., Tyson, J. E., & Gross, R. T. (1987). Use of physical and neurological observvations in assessment of gestational age in low birth weight infants. J Pediatrics, 110(6), 921-928
  6. Gold, J. B., Gluck, L., & Kulovich, M. V. (1977). The relationship between accelerated pulmonary maturity and accelerated neurological maturity in certainchronically stresstd pregnancies. Am J Obstet Gynecol, 127, 181
  7. Dubowitz, L. M. S., Dubowitz, V., & Goldberg, C. (1970). Clinical assessment of gestational age in the newborn infant. J Pediatrics, 77(1), 1-10
  8. Parkin, J. M., Hey, E. N., & Clowes, J. S. (1976). Rapid assessment of gestational age at birth Arch Dis in Childhood, 51, 259-263
  9. Whaley, L. F., & Wong, D. (2001). Nursing Care of Infants and Children, V. St. Louis: Mosby