Background: A cesarean section (C.S) is usually performed when a vaginal delivery would put the baby's or mother's life or health at risk. Delivery by cesarean section is one of the major risk factors for transient tachypnea of the new born (TTN). Objective: The current study was designed to assess the relation between the duration of fetal extraction during cesarean section and Apgar score. Patients and methods: Fifty pregnant women were included in the study fulfilling the inclusion and exclusion criteria. Time from incision of skin till clamping of the cord and time from incision of the uterus till clamping of the cord were recorded. Apgar score at 1 and at 5minutes, respiratory rate and weight of neonate were reported and the occurrence of TTN among the studied neonates. Results: No correlation between the duration of fetal extraction and Apgar score recorded at 5 minutes. It was noticed that absence of significant correlation between TTN development and history of previous cesarean section, there is no significant relation between BMI and development of TTN. It was noticed that absence of significant correlation between the time from incision of skin till clamping of the cord (S-C interval) and the development of TTN Also there is no statically significant correlation between development of TTN and between the time from incision of uterus till clamping of the cord (U-C interval). Conclusion: No correlation between the duration of fetal extraction during cesarean section and development of transient tachypnea of the newborn.