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The role of Interventional Radiology in High Risk Obstetrics and Gynaecology Rajeev Singh (Australia), Matthys Van Wyk (Australia), Kevin Ho (Australia), Sunanda G (Australia), Kingshuk Majumder (UK), Jega Rao (Australia) Ihab Khalil (Australia), Mahmoud Zidan (Australia), Latha Chaturvedula (India), Vijaya K (India) Introduction Surgery and supportive care have often been the pillars of management of critically ill patients. Interventional Radiology is a useful adjunct in helping improve patient outcomes in critical situations Aims and Objectives To discuss 3 complex scenarios managed in a Tertiary Hospital in Australia. To discuss the roles played by different disciplines, the role of team approach, effective communication and utilization of resources to optimize patient care and outcomes Material and Methods We discuss 3 case scenarios - 1. Placenta Percreta invading the bladder. Interventional radiology was combined with surgery to make surgery safer and easier 2. Postnatal patient with a 2.5-litre retroperitoneal haematoma following vaginal delivery. Interventional radiology negated the need for laparotomy, reduced patient morbidity and hastened patient recovery. 3. Post Hysterectomy patient with recurrent PV bleeds and AV malformation ? the use of interventional radiology bypassed the need for operative management. Discussion and Conclusions Prompt recognition of critical issues, planning & coordination, and improvements in surgical techniques and supportive care can lead to improved patient outcomes. Use of Interventional Radiology can lead to lower blood loss, lesser morbidity, & improved patient safety and recovery in these critical situations. The role Anaesthesia, Intensive care, Haematology, imaging, and associated specialties are crucial in managing these patients. Finally, a structured multidisciplinary team approach with good planning, communication, and standardized protocols and care bundles are crucial in ensuring optimal outcomes. Lessons learned, recommendations from our experience and our journey to developing into a Centre of Excellence in managing these difficult scenarios are discussed.