This report examines late preterm births in Virginia, drawing on data from 2018 to April 2024 sourced primarily from the CDC Wonder system. The findings highlight significant disparities in late preterm birth rates among racial groups, with Black Non-Hispanic populations experiencing higher rates than their White Non-Hispanic counterparts. Additionally, the analysis reveals that late preterm births frequently fall within the threshold for low birth weight, indicating a potential need for advanced medical intervention. Geographical variations in late preterm birth rates across Virginia’s regions stress the importance of region specific strategies and interventions. Pregnancy risk factors and abnormal conditions of the newborn emerge as notable comorbidities associated with late preterm births. Moreover, adverse outcomes stemming from cesarean deliveries and birth inductions are prevalent considerations in this context. Ongoing monitoring of these trends is essential for informing and evaluating the effectiveness of interventions aimed at reducing disparities and enhancing overall health equity.