Placental Transfusion Effect on Hemodynamics of Premature Newborns

Inclusion Criteria: * Premature neonates ≤ 32 weeks gestational age regardless birth weight who will be admitted to neonatal intensive care unit in the first day of life. Exclusion Criteria: * Preterm babies \>32 weeks * Major congenital anomalies (complex cyanotic heart disease, major central nervous system anomalies). * Evidence of head trauma causing major intracranial hemorrhage. * Monochorionic multiples. * Concern for abruptions, placenta previa or retroplacental hematoma. * Cord accident, or avulsion at the time of delivery. * Refusal to perform the intervention by the obstetrician