As can be deduced from the preceding sections, the overall prognosis for infants with CKD has improved considerably over the last 2 to 3 decades. This may have resulted not only from changes in treatment but also from a change in the patient population associated with an earlier diagnosis. As indicated in Table 42-12, many infants with structural forms of CKD are now routinely diagnosed antenatally (640), thus enabling planning for the future. When such infants are identified, multidisciplinary teams consisting of an obstetrician, neonatologist, pediatric nephrologist and pediatric surgeon or urologist can meet with the family to discuss the infant’s short- and long-term prognoses, thereby helping the family to make informed decisions about the infant’s postnatal care.