Score 1 * Lower chest --> Slight retraction present Score 1 * Xiphoid retraction Not present ---> Score 0 * Nares flaring --> Not present --> Score 0 * Grunting -4 Audible grunting Score 2 Total = Score 4 - The Downes' score is more comprehensive and can be applied to any gestational age and condition Score Respiratory rate Cyanosis Air entry Grunt Retraction 0 < 60/min Nil Normal None Nil i 60-80 In room air Mild Auscult with stethoscope Mild 2 >80/min In 40% 0, Marked Audible with naked air Moderate">