Which parameter is assessed by the Dubowitz method?

• A. Gestational age
• B. Birth weight
• C. APGAR score
• D. Presence of maternal antibodies

Answer: (A)

The Dubowitz method is used to estimate gestational age by evaluating neonatal maturity. It combines a set of physical signs (such as skin texture, presence of lanugo, plantar creases, breast buds, eye/ear development, and genitalia) with neuromuscular signs (muscle tone, tremors, reflexes, activity, and responses to stimulation). Each item is scored, and the total score points to a gestational age in weeks.

This is distinct from birth weight, which reflects size rather than maturity; the APGAR score, which assesses newborn condition at 1 and 5 minutes after birth; and the presence of maternal antibodies, which relates to immune transfer rather than the infant’s maturity.