Background: Prolonged cord clamping allows more time to transmission of fetal blood in the placenta to the baby during birth. The study aimed to define the influence of neonatal cord clamping time on first breath, oxygen saturation and heart rate throughout neonatal resuscitation as well as its relationship to clinical outcome. Methods: This study included 130 neonates, divided into 2 groups: Group I: the neonates were subjected to delayed cord clamping after 2 minutes (the intervention group). Group II they were subjected to immediate cord clamping (the control group). Results: Both groups differed significantly in the oxygen saturation (p