A new article published in Pediatric Nephrology reported on the results of recent studies which indicate that fetuses with renal oligohydramnios ROH could have improved survival owing to the advances in neonatology and pediatric nephrology. It was stated that an evaluation of a large series by Mehler and colleagues confirmed the improved prognosis showing a survival rate of 84 with ROH. While only 34 neonates required renal replacement therapy in five of these 12 children the dialysis could be terminated after the neonatal period. The findings of this study had important implications on the decision making process and counseling of families. Meanwhile 37 of families in the study opted for termination of pregnancies palliative care was chosen by 8 of the families. It was inferred that a multidisciplinary approach is necessary in the active treatment of neonates with a history of ROH as well as in antenatal counseling.