The nasal septum being an important component for the normal facial growth, any deviation of septum may lead to facial asymmetries and long term morbidities. Total of 215 newborns were studied to determine incidence and various risk factors for development of DNS. Detailed history was taken from mother with special emphasis on parity, mode of delivery, weight at birth, prolonged labour, birth trauma and intrauterine position. Clinical examination was done including strut test for diagnosis. Incidence of DNS was found to be 17.21%. Majority of deviation were seen in babies born to primiparae (45.95%) and with breech presentation (40.54%). Birth weight >3kg, prolonged duration of labour and vaginal route of delivery were other risk factors. Our study showed that DNS is common in newborns and various risk factors are associated with it. Early detection and management of neonatal septal deviation can prevent various morbidities associated with DNS in adult life.