There is also good news for hopeful parents. In the recent past OB/GYNs advised their patients with chronic kidney disease to avoid pregnancy—both because it could endanger their own health and because it was difficult for compromised kidneys to support a fetus. But as Cassandra Willyard writes, researchers have made important strides in helping such people have healthy pregnancies. Another area that has advanced rapidly during the past few years is the treatment of autoimmune kidney disease. As Charles Schmidt reports, new medications for the deadly disease of IgA nephropathy are here, and they are allowing physicians to help patients who previously had few to no options. Now, however, the trick will be diagnosing them as early as possible.