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Objectives Recognizing the need for increased collaboration, monthly interdepartmental meetings were initiated to share information and improve patient outcome. education for young clinicians. The primary goal was to make as needed communication easier and strengthen meticulous collaboration between the rheumatology and obstetrics departments to improve the management of pregnant patients with SARDs.Methods Joint meetings between the two departments were held at a tertiary medical facility. All cases of infertility treatment, pregnancy, and delivery are discussed and to facilitate the discussion, a designated rheumatology fellow prepares 1 slide for each patient and present all cases. Mini-lectures and confirmation of consensus in care are done at the end as far as time allows. At the end of FY2024, a survey of staff in both departments was conducted regarding these meetings. Based on the feedback from the survey, bi-directional mini-lectures on pregnancies complicated by RMDs were initiated starting in FY2025.Results In FY2023-2024, there were discussions on a total of 257pregnancy cases, and 20 infertility treatment cases. SLE was the most common background disease among pregnant women, followed by rheumatoid arthritis and antiphospholipid antibody syndrome. There were no serious adverse pregnancy outcomes (APOs) for the mothers, and the three cases of premature birth had uneventful postnatal courses leading to discharge. Improvements in interdepartmental collaboration included 1) standardized protocols for corticosteroid coverage and 2) coordinated aspirin prescribing.According to the staff survey, 68.4% felt that their understanding of pregnancy management had deepened and 94.7% felt that interdepartmental collaboration had improved.Based on the results of the questionnaire, mini-lectures for mutual understanding were initiated; a total of eight lectures were held in FY2024 on the most requested topics.Conclusions The implementation of joint meetings between rheumatology and obstetrics has greatly enhanced communication and is a critical step in patient care. In the context of progressive work style reforms, the sustained practice of these concise and effective meetings promises not only to deepen mutual understanding among professionals, but also to significantly improve the standard of care for our patients. Looking ahead, this collaborative model sets a promising precedent for interdisciplinary teamwork in health care.