总结1例高龄初产妇妊娠中期行直肠癌根治术后成功分娩的多学科协作护理体会。为应对患者肿瘤根治与强烈保胎诉求双重治疗矛盾的核心挑战，解决术后宫缩早产高风险、妊娠切口腹压增长愈合困境、围手术期腹部疼痛鉴别困难及多重心理危机等问题，组建护理主导的多学科协作团队，构建宫缩三级预警机制，制订针对性切口管理方案，精准鉴别疼痛来源及管理优化，基于关键节点开展个体化心理干预。经过19 d精心治疗与护理，患者顺利出院。该患者术后第60天经剖宫产分娩出2 100 g健康男婴，母子平安。

This report summarized the multidisciplinary collaborative nursing experience of a primigravida undergoing mid-pregnancy rectal cancer radical resection with fetal preservation. To address the core challenge of the dual treatment contradiction between oncologic radicality and strong demand for fetal preservation in the patient，and to solve the high risk of postoperative uterine contractions and premature birth，the dilemma of incision healing with abdominal pressure growth，perioperative abdominal pain differentiation，and multiple psychological crises，a nursing led multidisciplinary collaboration team has been established，to implement a tertiary uterine contraction warning system，tailored incision care，precise identification of pain sources and optimization of management，and key-node based psychological support. After 19 days of treatment，the patient was discharged and subsequently delivered a 2，100 g male infant by cesarean 60 days after the surgery，with both mother and infant in good health.