A qualitative descriptive study examining the challenges and coping mechanisms of women experiencing pregnancy during the perimenopausal stage.

Undergraduate thesis (Bachelor of Science in Nursing) — Foundation University, 2025.

Includes bibliographical references and appendices.

Abstract
Pregnancy that occurs during the perimenopausal stage often brings unfamiliar
physical, emotional, and social challenges. Yet, despite its growing relevance, this topic
remains underexplored in reproductive health discussions. This study aimed to understand
how WOmen who became pregnant in this stage experienced and coped with these
challenges. Conducted in Dumaguete City, Philippines, the research used a qualitative
descriptive design, with data gathered through individual interviews involving seven
Women. The final participant count was guided by data saturation, reached when no new
insights or patterns emerged. Thematic analysis, guided by Braun and Clarke's approach,
and organized using Roy's Adaptation Model, led to the development of five themes and
thirteen subthemes. Participants described feelings of fear, emotional vulnerability, and
uncertainty, yet also expressed pride in overcoming the demands of pregnancy and
motherhood. The presence of supportive family members and access to healthcare played a
key role in helping them adapt. The findings highlight the complex and deeply personal
nature of pregnancy in perimenopause and emphasize the importance of responsive,
individualized care for women navigating this rare experience.
Keywords: women's health, perimenopausal pregnancy, qualitative descriptive study,
thematic analysis, Philippines