Gestational age (GA) is an important factor in the management, decision making, prognostication and follow up of newborn infants. Determination of gestational age, especially within the first 48 hours of birth is therefore invaluable in the assessment of newborns. It is therefore of utmost importance that a maturity status be assigned to newborn infants as soon as possible after birth. This is because, the earlier this is done, the earlier, at risk infants such as premature infants are detected, so that life-saving interventions can be instituted. Early trimester ultrasound, the gold standard for GA estimation is largely inaccessible in resource-poor countries. In such countries, neonatal units rely on post- natal neonatal scores such as New Ballard Score (NBS) and Dubowitz Examination (DE)) for GA determination. Last Menstrual Period (LMP) is largely inaccurate and the post-natal scores are cumbersome to perform and require expertise. Evaluation of low-cost tools to accurately identify premature newborns in resource-poor countries is a research priority. Such a tool should be cheap, concise and simple to perform without requiring special expertise, and at the same time be reliable. Foot length measurement, in the determination of GA, fits this description. The main aim of this study was to evaluate foot-length measurement as a marker of gestational maturity of appropriate-for-geatational age babies in Enugu State University Teaching Hospital, Enugu, Nigeria