Year-to-year very low birth weight rates were examined to assess any systematic trends during the 8-year time frame. Descriptive frequencies were initially examined, and then bivariate analyses were conducted using chi-square tests to examine the association of each maternal characteristic on the outcome variable Based on this analysis, a final, multivariate logistic regression model was created to adjust for the effects of the various maternal characteristics as predictors of very low birth weight. SAS version 9.2 software ( SAS Institute Inc., Cary, NC, USA, 2010 ) was used for all analysis. Significance was accepted at the 0.05 alpha level for all variables.