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