Objective: Intraventricular hemorrhage (IVH) is an alarming complication in preterm infants. The present study was aimed to evaluate the effect of umbilical cord milking and non-milking technique on the incidence of IVH in very preterm neonates (28+1 – 31+6). Methods: This was a prospective comparative study conducted on 59 very preterm (28+1 – 31+6) neonates. The neonates were divided into two groups non milking group (n=31) and umbilical cord milking [UCM] (n=29). The primary outcome measured was the incidence of IVH and secondary outcome was neonatal mortality, significant jaundice, respiratory distress syndrome (RDS) and need for blood transfusions. Results: In this study, there was no significant difference in the perinatal demographics between the groups. The incidence of IVH was significantly (p=0.027) decreased in UCM group as that of that of the non-milking group (3.8 vs 27.6%). Further, the mortality, RDS, need for ventilation support blood transfusion was decreased in UCM groups but not statistically significant as that of the non-milking group. Conclusion: UCM significantly decreased the incidence of IVH in very preterm infants without showing any adverse effects to mother and the newborn.