Table 1

NEW system criteria

	Normal	Amber	Red
Temperature (°C)	36.3–37.5	35.5–36.3 37.5–38	<35.5 >38
Respiration (breaths per minute)	30–60	20–30 60–80	<20 >80
Grunting	No grunting	Grunting present	N/A
Heart rate (beats per minute)	90–150	70–90 150–190	<70 >190
Colour (SpO₂) %	>94	90–94	<90
Neurology	Active/wakes to feed	Jittery/irritable	Floppy/difficult to rouse Seizures

One amber observation: Contact SHO/ANNP/Senior midwife. Verbal management plan or review. Repeat observations in 30 min. Two amber or one red observation: immediate review.
NEW, newborn early warning.