Abstract Advances in respiratory and haemodynamic management of premature infants in recent years may impact the development of Bronchopulmonary dysplasia (BPD). Our aim was to evaluate trends in BPD incidence in our neonatal unit over the past 15 years and to assess the impact of conservative approach in patent ductus arteriosus (PDA) management on these trends. We conducted an observational study among neonates born before 32 weeks and admitted to BCNatal Hospital Clinic from 2008 to 2022.