Background- Intraventricular hemorrhage is one of the medical issues that preterm infants are susceptible to as a result of their difficulty adjusting to life outside the womb. The term "intra ventricular hemorrhage" refers to bleeding into the ventricular system from the germinal matrix, a highly cellular and vascular tissue that is only seen in preterm newborns and ruptures easily, causing bleeding into the ventricles and the parenchyma in the presence of perinatal stressors. Objectives- To assess magnitude and associated factors of intraventricular hemorrhage in preterm neonates admitted to Tibebe Ghion specialized hospital. Methods- 196 preterm newborns hospitalized to Tibebe Ghion specialty hospital were the subject of a cross-sectional investigation. The neonatal referral form, the mother's medical file, and an in-person interview with the mother and bedside cranial sonography used to collect clinical data. After data was entered into Epi Info and exported to SPSS, analysis was carried out using Bi- and multivariable logistic regression. Results;-The overall magnitude of IVH in preterm newborns among preterm neonate admitted to TGSH was 53 (27.04%), (95% CI: 20.9%- 32.2%). In the multivariable logistic regression analysis, a birth weight of between 1500 -2000gm (AOR: 0.38, 95% CI: 0.18-0.79) were negatively and those neonates with gestational age between 28-32 weeks (AOR: 2.14, 95% CI: 1.04 - 4.41) were positively associated with occurrence of intra ventricular hemorrhage. Conclusion and recommendation; - The study discovered that the magnitude of IVH is slightly higher than that of prior studies done in different part of the world and those neonates delivered at early gestational ages and those with very low birth weight have a higher incidence of IVH Therefore, both guardians and health providers should give more attention for those neonates born at early gestational and with small birth weight. Key word: Intra ventricular hemorrhage, preterm neonates, Associated factors, Tibebe Ghion specialized hospital.