Abstract: Normal HR in a neonate is 110-160 bpm lower cut-off range is 107bpm (5th centile), physiologically bradycardia is seen during sleep and HR can go upto 60-80bpm2. Risk factors for congenital bradycardia are SLE in mother, lymes disease in mother, maternal intake of drugs(placental transfer of anaesthethics & anti-hypertensive drugs-labetalol) structural and conduction anomalies in neonate, sinus bradycardia3