The first line of treatment is volume administration with 10-20 mL/kg normal saline, which should be limited to this amount to avoid complications, especially in preterm infants. In general hypotension is often due to a combination of: The recognition and treatment of hypotension is particularly important to avoid complications such as cerebral ischaemic injury or intraventricular haemorrhage. We recommend that you also refer to more contemporaneous evidence in the interim.īlood pressure disorders encountered in neonates, monitoring of blood pressure and normal ranges. Please note that all guidance is currently under review and some may be out of date. BP values increase following birth, with greater rates of increase seen in preterm infants compared with term infants and is primarily the result of an increase in stroke volume Flynn, J.T Normal BP in newborns varies with gestational age, postmenstrual (also referred to as postconceptual) age, and birth weight.It may also complicate umbilical arterial catheterization although this is usually short-lived Hypertension (defined as sustained systolic and/or diastolic blood pressure greater than the 95th percentile) in the newborn is increasingly seen as a complication in infants with bronchopulmonary dysplasia (BPD) who are receiving steroid treatment but may also be due to congenital or acquired renovascular disease or volume overload.Volume administration (limited to 10-20 mL/kg normal saline to avoid complications in preterm infants) is the first line of treatment.Recognition and treatment of hypotension is particularly important to avoid complications.Hypotension indicates inadequate systemic blood flow.

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