Anemia is a widespread public health problem associated with an increased risk of morbidity and mortality, especially in pregnant women Globally almost half of pregnant women and close to one third of non pregnant women suffer from anemia. The aim of this study is to evaluate the effect of moderate and severe maternal iron deficiency anemia on neonatal hemoglobin )through sampling of cord blood( and fetal outcome (neonatal weight , apgar score and neonatal asphyxia). The present study shows that maternal iron deficiency anemia affect neonatal hemoglobin and neonatal outcome ( neonatal weight, Apgar score and neonatal hypoxia) . The study also shows that the severity of maternal iron deficiency anemia correlate with neonatal hemoglobin and neonatal outcome.