Background: umbilical cord serves like a conduit for fetus's gas exchange, nourishment, & endocrinal homeostasis.  Clamping of umbilical cord marks watershed moment in development of foetus into independent entity. Aim of the work: To compare effects of  early versus delayed cord clamping on intraoperative blood loss during caesarean delivery in cases with severe preeclampsia. As well as to compare neonatal benefit of delayed cord clamping versus early cord clamping. Patients and methods: This randomized prospective control study was conducted, including 60 near term pregnant women with severe preeclampsia candidate for termination by cesarean delivery and the surgery was performed by qualified staff member at the Obstetrics and Gynecology Department, Al-Azhar University Hospitals. The study duration ranged from 6-12 months. Results: Postpartum hemorrhage was slightly more frequent in delayed group compared to early group. However, blood transfusion, and Uterotonic administration were slightly less frequent in delayed group compared to early group but without difference between 2 groups. Conclusion: There was no difference between delayed and early cord clamping as regard maternal or fetal outcomes. Only neonatal crying/breathing established before cord clamping was significantly more frequent in delayed group compared to early group.