Professional Documents
Culture Documents
IN ORMOC CITY
First Semester
SY 2020-2021
COVID 19 PANDEMIC: THE LIVED EXPERIENCE OF PREGNANT WOMEN
IN ORMOC CITY
In Partial Fulfillment
of the Requirements for the
Course NuCM 111 Nursing Research 1
February 2021
APPROVAL SHEET
RESEARCHERS:
Reviewed by:
Approved by:
The researchers would like to thank the following people for their priceless
contributions to the fulfillment of this research proposal:
Parents of each researcher, for their unconditional love and for always supporting and
encouraging them to try their best in all their endeavors.
Research teacher, Janet Alexis A. De los Santos, PhD, MAN, RN for sharing her
ideas and extending her assistance for the betterment of the study.
Research adviser, Michelle C. Tolibas, Ph.DNS, MAN, RN, RM, for imparting her
wisdom to the researchers. And for the patience and time in checking and rechecking the
manuscripts and for sharing proficient suggestions even beyond her office hours.
College Dean, Dr. Joel Rey U. Acob, RN, MAN and other panel members, for their
constant guidance and lectures which greatly honed the researchers into consistently
improving this study. Without their supervisions, this research would have never been
commendable as it is now.
And above all, the God Almighty, the author of knowledge and wisdom, for his
countless love and for making the impossible happen. We owe all the glory of this research
study to Him.
-The Researchers
Table of Contents
TITLE PAGE 1
APPROVAL SHEET 1
ACKNOWLEDGEMENT 1
TABLE OF CONTENTS 1
LIST OF TABLES 1
LIST OF APPENDICES 1
CHAPTER I 1
Nature and Importance of the Study 2
CHAPTER II 4
Review of Related Literature 5
CHAPTER III 4
Theoretical Framework 5
Conceptual Framework 5
INTRODUCTION
This chapter generally discusses the importance of the study. Relevant literature is also cited
scale. It also includes objectives, significance, scope and limitations, and definition of terms
Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) that was first observed by the
2019, following a report of cluster cases of viral pneumonia. Furthermore, this virus has
established a tremendous effect worldwide in health problems, with over 110,032,334 cases
and 2,429,707 confirmed deaths (World Health Organization, 2021). In the Philippines, the
against the COVID-19 that has already affected 452,000 Filipinos with a fatality of 8,812.
Moreover, to support the affected Filipinos and the declining economy due to pandemic, the
legislative passed an urgent bill, Bayanihan Act, and was approved by the President. More
importantly, the government also allotted money through the Bayanihan Law to purchase
vaccines. (Manila Bulletin, 2020). The COVID 19 pandemic also caused significant damage
to the health and economy in Ormoc City. As of date, the number of cases was currently
increasing in Ormoc, affecting 780 cases: 26 of which are active cases, 742 recovered, and
12 confirmed deaths, respectively. To control the spread of disease and avoid community
transmission, the LGU headed by the Mayor ordered the local IATF for strict implementation
pregnancy and childbirth for women occur in radically different and unusual situations with
the onset of the COVID-19 outbreak. In the present crisis, various complications have led to a
state of uncertainty and anxiety among pregnant women. This pattern is rising more
particularly in pregnant women at risk as they are preoccupied with the wellbeing of
themselves and the fetus. Historically, pregnant women have always been considered high-
risk populations due to fear, stress, depression, and anxiety, resulting in nausea, vomiting,
low APGAR score, miscarriage, premature delivery, emaciated baby, stillbirth, mummified,
and abortion. The susceptibility of pregnant women to emotional instability has been
prevalent in low and middle-income countries. (Fisher, 2014). Studies in obstetrics have
concentrated mostly on the risks of pregnancy in infected women and the possibility of
infection from mother to fetus since the COVID-19 outbreak. The lived experience of
COVID-19 infected pregnant women has been studied so far, but the experience of Filipino
women who were pregnant but not infected has not been investigated. Hence, this paper aims
to understand and describe the lived experiences of pregnant women in Ormoc City during
the COVID-19 pandemic. Investigating these concerns will help better understand the
experiences of pregnancy during the COVID-19 pandemic to provide better care if the
Generally, this study aims to explore and described the lived experiences of pregnant
women in Ormoc City during COVID-19 pandemic. Specifically, the study seeks to answer
the following:
What are the physical, emotional, social, and psychological factors experience by
How do pregnant women overcome the challenges brought about by the COVID-19
women’s lived experience at the time of pandemic in Ormoc City, Leyte. More importantly,
the result of this study could immensely be significant to: Pregnant Women, Significant
The conduct of this study will help identify the experiences of pregnant women thus,
solutions and alternatives will be formulated for them to prevent such experiences to
This study will allow significant others to assist the pregnant women in attaining their
necessities.
The members of the Health Care Team will be able to devise a strategic plan as a
The DOH will be able to formulate plans and as well as adopt other strategies
Future researchers who wish to further study this topic will be given a baseline data
that will guide them on where and how to start their research.
This study will serve as source of information for clinical instructor for future use.
Nursing students will be able to familiarize the concerns and issues faced by the client
The research study will be implemented within the school year 2020-2021 of the
Visayas State University. This will be conducted at Ormoc City, a first-class city in the Leyte
The city has an area of 613.60 square kilometers of land, or 236.91 square miles, which is
9.72 percent of the entire area of Leyte. Its population was 215,031, as calculated by the 2015
Census. This accounted for 12.47 percent of Leyte province's total population, or 4.84 percent
of the Eastern Visayas region's overall population. It is comprised of 110 different barangays
The study will focus on the lived experiences of pregnant women during the COVID-
19 pandemic. The respondents will be pregnant women who are residing in Ormoc City. The
study only examines the pregnant women’s experiences, and concerns with regards to
physical, emotional, psychological, and emotional aspect at the time of pandemic. Generally,
the results generated from this study should be interpreted carefully with consideration of
these limitations.
Definition of Terms
discovered coronavirus.
area, crossing international boundaries and usually affecting a large number of people.
from the first-person point of view. The central structure of an experience is its intentionality,
Pregnancy- Pregnancy is the term used to describe the period in which a fetus develops
This chapter discusses the related literature and studies after a thorough and in-depth review
by the researchers. The literature and studies discussed in this chapter deals with different
theories, concepts, generalizations, conclusions, and even research-related patterns from the
past to the present. This will serve as a guide for the researchers in developing the research
study. Also, the information included in this chapter helps to familiarize information that is
Pregnancy
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Another topic
For example: Prenant women needs to have regular check up from an OB gyne or
So you can relate it later in your analysis and when you write your discussion)
Pregnancy may likewise be portrayed as an emergency (Raphael-Leff, 1991) or from
view, pregnancy is a time of a developed emergency with a critical potential for a positive
turn of events. Notwithstanding, as per Bondas and Eriksson (2001), the exemplary crisis,
job, and stress standards focusing on negative and obsessive versus external cultural
perspectives may presently do not fully comprehend the experiences of pregnant women in
the Western world. Thus, existential inquiries appear to be ignored in maternity care
associations (Bondas and Eriksson, 2001). Hence, there is an absence of information about
the purpose of pregnancy in the birthing woman's lifeworld. However, there are some studies
with individuals around the women (Bondas and Eriksson, 2001) and reflections about their
The pandemic has drastically influenced the lives of millions of individuals around
the world, closing down organizations, air travel, and public administrations, and in a real
sense isolating individuals in their homes for quite a long time. The emergency is joined by
an overpowering vulnerability concerning innumerable parts of both the near and more
removed future. Discoveries from past plagues and pandemics show that a scourge can have
substantial mental consequences for individuals and lead, among other mental outcomes, to
discouragement and general as well as explicit nerves (Taylor, 2019). Likewise, experimental
nervousness.
One of these is the impact on women who are right now pregnant, and because of
conceiving an offspring in the coming months (Taubman – Ben‐Ari et al., 2020). Not
exclusively are they tormented by explicit feelings of dread, for example, the fear of being
infected and worry for the government health protocols, yet medical clinics and health centers
are engaging individuals to remain away and discuss distantly with their doctors, these
women will, at some point or another, need to go to the medical clinic to convey their infant.
This will require not just venturing out from home and being in a public spot, subsequently
expanding the chance of contamination, yet it will likewise include a stay in a hospital, where
individuals with COVID‐19 are being dealt with. Besides, women will generally be all alone,
as they are permitted to carry just a single individual with them, and guests are precluded,
although most evidence to date indicates no danger of transmission to the fetus (Chen et
al., 2020). In this manner, the usual fear of labor (FOC) is currently joined with labor
Fear of Childbirth (how will this fear of children help later in your study, does it have
Literature on the FOC reveals that it is seen in all pregnant women, regardless of
whether nulliparous, primiparous, or multiparous, and may have ramifications for their
wellbeing, just as for the labor, delivery, and postpartum period (Nilsson et al., 2018). A few
components have been found to add to FOC, including women's inside assets (e.g., poor
emotional wellbeing, tension issues, past injury) and outside assets (e.g., absence of social
help, joblessness, financial issues; Dencker et al., 2019). Studies also demonstrate social
contrasts, such as various convictions about labor or the mother's capacity to unveil their
FOC is utilized as an overall name for some kinds of tensions identifying with
women's insight of pregnancy, labor, and the results, and approach to separate among them,
and to recognize factors that may diminish, and not just increment, women's apprehensions
(Dencker et al., 2019). In this, we looked to inspect the worldwide FOC during the current
emergency, just as explicit COVID‐19‐related labor uneasiness, researching factors that may
be related with these two types of nervousness, including sociodemographic qualities, the
individual assets of self‐compassion and social help, and the COVID‐19‐related fears of being
Breastfeeding (Why you discuss breastfeeding when your topic is about pregnant
The lockdown measures presented in the UK on 23rd March 2020 to decrease the
spread of Covid-19 brought about a quick change in conditions for pregnant women, new
mothers, and their babies. Current proof recommends that, while pregnant women are not at
transmission can happen after birth from moms and different parental figures.
Under these conditions, a new direction has risen to consider women during
pregnancy, conveyance, and the baby blues. Prominently, the World Health Organization
suggests prompt baby blues mother-newborn child contact and breastfeeding, with essential
preventive measures, since the advantages of these practices significantly exceed the
expected dangers of viral transmission from mother to baby (Coxon et al., 2020). In any case,
there is no widespread agreement on an ideal way to deal with secure moms and infants
during and after conveyance, and direction on the administration of breastfeeding with living
in for children has commonly been made dependent on asset accessibility and possible danger
While fundamental with regards to the pandemic, these changes, combined with
decreased face to face uphold from family, companions, and friends, could adversely
defeat practical difficulties, their choices about baby care, and maybe their relationship with
their newborn child. A longitudinal companion concentrates in the United States revealed
lower paces of breastfeeding in clinics and at home among mother-infant dyads who were
isolated during their hospitalization due to maternal contamination (Popofsky et al., 2020).
2421 pregnant and 3445 breastfeedings), practically 50% of the ladies experienced
manifestations of misery and nervousness during the lockdown time frame contrasted with
before the current emergency (Ceulemans et al., 2020). This possibly demonstrates that social
confinement and the subsequent psychosocial stress could affect holding among moms and
their children (Tscherning et al., 2020), just as on the foundation of breastfeeding rehearses
1.) Social distancing, (how does it affect to the regular check up of the pregnant
women. (what do you think of their lived experiences during check up,
their concerns too. So it think you can have a topic related to this concern and
many more.
19 pandemic. ss
CHAPTER III
Philosophical Underpinning (for phenom, you need to replace this part with
interactionism etc)
systematic, and coherent design elements that lead to an essential description of the
intention was to describe the lifeworld of a pregnant woman. Lived experience is understood
from a lifeworld approach originating from the writing of Husserl (1936/1970). In the
development of the lifeworld theory, Husserl referred this as a natural experience or natural
attitude. Meeting the woman from a lifeworld perspective means to be able to see,
understand, describe, and to analyze parts of her world, as perceived by the woman soon after
she became aware of the pregnancy. This perspective focuses not only on the world or the
subject but also on their interaction. The lifeworld becomes the starting point for
understanding lived experiences. Hence, the lifeworld forms foundations to understand more
about lived experiences. In the lifeworld, our experiences must be regarded in the light of the
body and the lifeworld of a person (i.e., our subjectivity). When understanding the meaning
of lived experiences, we need to understand what lifeworld is, our purposes here in the world
Conceptual Framework (There should be discussion that explains about the conceptual
framework)
Note: is it the body image that is important in pregnancy during pandemic? I think not
really necessary this time. Adaptation maybe YES. Please reflect on this, go back to
your title then recheck this Framework. As I can see it, your last arrow is heading
towards ADAPTATION, take note of your arrow, it has meaning on this figure)
Pregnancy During Physical
COVID-19 Function
Pandemic
Family Support
Life-world
-Adaptation
Body Image integration
-Cohesiveness
Social Support
- Emotional
- Informational
- Evaluative Self-esteem
Chapter IV
RESEARCH METHODOLOGY
This chapter contains a discussion of the methodology used in the conduct of this study. It
describes and expounds the research design, participants, sampling procedure, time and place
of study, research instruments, data gathering procedure, and the data analysis utilized in this
study.
Research Design
Husserl as a method to explore and describe the lived experiences of pregnant women in
directly explore and analyze this particular phenomenon to arrive at a description of the lived,
Research Participants
The researchers will select at least 12 participants from different age, parity, and
education level using a purposive sampling method. Inclusion criteria were being pregnant at
the time of announcement of pandemic with an age of 18 years old and above who is
currently residing in Ormoc City, registered in public health centers and is willing to be one
of the participants. Exclusion criteria include those pregnant women who are below 18 years
old and is not registered in public health centers will not be considered as a qualified
The researchers will utilize purposive sampling method in which researchers rely on
their own judgment when choosing participants of the population to participate in the study.
This is an appropriate method to select the participants for a study using a descriptive
phenomenon from the perspective of those who have experienced it. Sample sizes of 10 to 15
are adequate provided participants are able to provide rich descriptions of the phenomenon
(Speziale & Carpenter, 2007). The sample size was determined through the saturation of data
and to the point that no new code or themes from the participants; responses could be
extracted.
Research Instrument
The instruments that will be utilize in this study will be a semi-structured open-ended
question formulated by the researchers and validated by the research adviser. After the
formulation of the questionnaire, the researchers will then interview the chosen participants.
set of open ended questions (questions that prompt discussion) with the opportunity for the
been referred to as a conversation with a purpose (Burgess, 1984). The participants were
asked questions that allowed them to discuss and describe their pregnancy experiences during
COVID-19 pandemic. The researchers will be using a smartphone to record the interview
with the selected participants. After the interview, researchers will then transcribe and
In the gathering of data, the researchers will submit a formal letter to the City Health
Office to obtain the list of pregnant women from the City Health Office. From the data
obtained, the researchers will select 12 participants using purposive sampling. Before
proceeding to the interview, a packet information sheet and informed consent will be given to
the participants. The researchers will also obtain permission from the participants that the
researchers would have the interview be in the record. The researchers would provide
assurance to the respondents that the data gathered will remain strictly confidential and solely
use for the purpose of research and that their actual names will not be used in the research
study. The language that will be used will depend on the participant's preference. Face-to-
face interviews with pregnant women will be utilized to gain insights and explore their
on-one interviews with 12 participants will be conducted with open-ended questions. The
primary question was, " In what ways has the COVID-19 outbreak affected your overall
healthcare? "Other questions included, "Were there any changes in your follow-up check-up
during the pandemic?" and "What have you done to cope with your stress related to the
COVID-19 outbreak?" Furthermore, probing questions such as, "what do you mean exactly,"
"give me an example," and "can you elaborate" will be asked to encourage participants to
share more in-depth information. Each participant will be interviewed for at least 30-60
minutes in an isolated area to ensure both privacy and confidentiality. The face-to-face
nature of the interview allows for immediate clarification or expansion of the participants'
thoughts and access to nonverbal cues such as gestures and facial expressions (Speziale &
Carpenter, 2007). After each of the interviews, the researchers will take short field notes after
the interviews and reflect on these notes to ensure that the results are complete and detailed.
The context of the interview will be listed in the field notes, as well as any factors that may
have affected the data collection process. For example, the setting in which the interview
takes place, remarks on the participant's actions, and the dynamics of the interview may be
identified. Throughout the course of performing this study, criteria for reporting qualitative
Data Analysis
The researchers will make use of Colaizzi’s seven-step content analysis method to
analyze the research data. Colaizzi’s (1978) distinctive seven step process provides a rigorous
analysis, with each step staying close to the data. The following steps represent Colaizzi
process for phenomenological data analysis (1) Each transcript should be read and re-read in
order to obtain a general sense about the whole content; (2) For each transcript, significant
statements that pertain to the phenomenon under study should be extracted. These statements
must be recorded on a separate sheet noting their pages and lines numbers; (3) Meanings
should be formulated from these significant statements; (4) The formulated meanings of
Pregnant Women during COVID-19 should be sorted into categories, clusters of themes, and
themes pandemic (5) The findings of the study should be integrated into an exhaustive
description of the phenomenon under study; (6) The fundamental structure of the
phenomenon should be described; (7) Finally, validation of the findings should be sought
from the research participants to compare the researcher's descriptive results with their
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Month/date/year
Respectfully yours,
LAIDELLE JASCINTH M. CALIXTRO DANICA MAE M. BANDOLON
Researcher Researcher
Noted by:
MICHELLE C. TOLIBAS, Ph.DNS, MAN, RN, RM
Research Adviser
Appendix B
I have read and understand the Packet Information Sheet that was given to me. I was
also able to ask questions about additional information that I need to know. I am aware that my
participation is voluntary and that I am free to withdraw at any time, without offering any
justification and without any fee. I believe that a copy of this consent form will be given to me. I
Participant’s signature
Date
Researcher
Researcher
Appendix C
RESEARCH QUESTIONNAIRE
Good Day Ma’am, before anything else, we would like to express our gratitude to you for
gracing us with your time and for being willing to participate in the interview aspect of our
study. We just want to recapitulate that our study seeks to describe the lived experiences of
pregnant women during COVID-19 Pandemic. Investigating these concerns will help better
understand the the experience of pregnancy during the COVID-19 pandemic to provide better
care if the current pandemic continues or similar ones occur. Our interview today will last
In the consent form, you have indicated there that you’ll allow us (or not) to have an audio
recording of our conversation. Are you still okay with us recording (or not) our conversation
today? ___Yes___No
If yes: Thank you so much! Please do let us know if you have something to say that you don’t
want to be recorded in our audio recorder. We will automatically stop the audio recording and
If no: Thank you for letting us know ma’am/sir. My partner and I will take turns in taking notes
of our conversation.
Preliminary Questions:
Before we start with the interview proper, do you have any concerns regarding this interview? Is
there anything you want to share? Should you have any queries in mind that may arise at any
point in this study, please do not hesitate to open it up anytime. We would be more than
delighted to give an answer to all of your queries and address your concern as much as we can. If
you have nothing in mind as of this moment, we may start with the interview.
QUESTION-GUIDED INTERVIEW:
For recording purposes, may I ask what is your name again ma’am?:____________________
Date: . _______
Place: . _______
Interviewer: . _______
Interviewee: . _______
INTERVIEW-PROPER:
1. In what ways has the COVID-19 outbreak affected your overall healthcare?
1.1. Physically?
1.2 Psychologically?
1.3. Emotionally?
1.4. Socially?
2. Did you regularly go to pregnancy follow-up check-up during the coronavirus pandemic?
2.1 Were there any changes in your follow-up check-up during the pandemic?
2.2 In what way does the new health protocols and policies imposed by the DOH to avoid
2.3 How stressed were you about the changes to your prenatal care experiences due to
COVID-19 outbreak?
2.4 How does the healthcare worker such as doctor, midwife/nurse guide you in the
process?
3. How did you overcome the challenges brought about the COVID-19 pandemic?
3.2 What made you say so that you have overcome the challenges?
POST-INTERVIEW SCRIPT:
Ma’am, my partner and I would like to express our heartfelt appreciation to you who
extended their immense help by rendering us your valuable time and efforts, without the likes of
you we won’t be able to achieve the objectives of our study. Be of the opinion that all the data
that we have gathered from you will remain strictly confidential and and only we, the
researchers, will handle it. Once again, thank you so much ma’am and God bless.