Newborn Early Warning Trigger and Track (NEWTT)
At Risk Infants – Please tick box as appropriate. Record reason for observation, frequency and
duration overleaf .
Intrapartum
Meconium Stained Liquor (requiring
intervention
Cord arterial pH ≤ 7.1
Base Excess ≥ - 12mmol/l
APGAR ≤ 7 at 5 minutes
Other – Specify reason
................................................................
Sepsis
Infants fulfilling NICE (2012) criteria
PROM > 18hours Preterm
PROM > 24 hours Term
Maternal Temperature > 38°C
Chorioamnionitis
Maternal GBS in vaginal swab/ or MSU
Confirmed invasive GBS sepsis in previous baby
Etc
Other
Metabolic : Blood Sugar Monitoring
Maternal Diabetes
Maternal β Blockers
Birthweight <2nd centile
Other – Specify reason
...............................................................
Other
IPPV > 5 minutes
Maternal pethidine < 6 hours before
delivery
< 37 weeks gestation
Other – Specify reason .............................
Weight on 2nd centile in Kg.
GA Boys Girls
35 1.65 1.60
36 1.90 1.80
37 2.10 2.00
38 2.30 2.20
39 2.50 2.45
40 2.65 2.60
41 2.8 2.75
42 2.9 2.85
Infants that need immediate review by
Doctor /ANNP
Jaundice < 24 hours
Bilious Vomiting
Abnormal Movements
Hypoglycaemia
Apnoea
These criteria are a guide only to increase surveillance on
infants of potential concern. It can be expanded upon to
meet local requirements and guidelines.
At Risk Infants – Please tick box as appropriate. Record reason for observation, frequency and
duration overleaf .
Intrapartum
Meconium Stained Liquor (requiring
intervention
Cord arterial pH ≤ 7.1
Base Excess ≥ - 12mmol/l
APGAR ≤ 7 at 5 minutes
Other – Specify reason
................................................................
Sepsis
Infants fulfilling NICE (2012) criteria
PROM > 18hours Preterm
PROM > 24 hours Term
Maternal Temperature > 38°C
Chorioamnionitis
Maternal GBS in vaginal swab/ or MSU
Confirmed invasive GBS sepsis in previous baby
Etc
Other
Metabolic : Blood Sugar Monitoring
Maternal Diabetes
Maternal β Blockers
Birthweight <2nd centile
Other – Specify reason
...............................................................
Other
IPPV > 5 minutes
Maternal pethidine < 6 hours before
delivery
< 37 weeks gestation
Other – Specify reason .............................
Weight on 2nd centile in Kg.
GA Boys Girls
35 1.65 1.60
36 1.90 1.80
37 2.10 2.00
38 2.30 2.20
39 2.50 2.45
40 2.65 2.60
41 2.8 2.75
42 2.9 2.85
Infants that need immediate review by
Doctor /ANNP
Jaundice < 24 hours
Bilious Vomiting
Abnormal Movements
Hypoglycaemia
Apnoea
These criteria are a guide only to increase surveillance on
infants of potential concern. It can be expanded upon to
meet local requirements and guidelines.
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