In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:. Wylie BJ, Davidson LL, Batra M, Reed SD. Method of delivery and neonatal outcome in very low birthweight vertex-presenting fetuses. Am J Obstet Gynecol 2008;198:640.e1-640.e7.