In the roundtable that follows, clinicians discuss a study that is published in this issue of the Journal in light of its methods, relevance to practice, and implications for future research. Article discussed:. Clark SL, Belfort MA, Dildy GA, Herbst MA, Meyers JA, Hankins GDV. Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery. Am J Obstet Gynecol 2008;199:36.e1-36.e5.