The team’s publication, “What is the safest mode of birth for extremely preterm breech singleton infants who are actively resuscitated? A systematic review and meta-analyses”  (M Grabovac, JN Karim, T Isayama, S Korale Liyanage, SD McDonald. BJOG. 2018 May;125:652-663. doi:10.1111/1471-0528.14938), was deemed by the editor to be of such importance that they subsequently included a debate about it:

Carreno & Chauhan BJOG 2018 “Caesarean section is the safest mode of delivery for extremely preterm breech singleton infants, FOR: Caesarean delivery of extremely preterm breech singletons”
(Full response available here)

and

Silver BJOG 2018 “Caesarean section is the safest mode of delivery for extremely preterm breech singleton infants, AGAINST: Caesarean section is not the safest for extremely preterm breech”.
(Full response available here)

We appreciate the comments and opinions from Dr. Carreno, Dr. Chauhan, and Dr. Silver. It’s great to see that the team’s research is stirring up intellectual discussion on this important topic!