Study’s aim: The objective of this work was to highlight the determinants of the senses' construction among parents concerning the illness of their infant suffering from the effects of perinatal asphyxia.Materials and Methods: This study is descriptive exploratory qualitative. It was carried out in the counseling center of the national reference center for neonatology and nutrition in Rabat, for infants followed by the pediatricians of this center, and at home for cases whose parents decided to stop following their infants without medical advice. On the basis of 255 cases of perinatal asphyxia with abnormal development, 30 families were recruited; 15 families have infants undergoing follow-up and 15 families have decided to abandon the care.Results: Following data saturation and with a 100% response rate, this study found that the construction of the senses in these parents is influenced by several determinants, including the parents' belief in the supernatural; their religious beliefs; their previous experiences with the disease; their personality type; and their interpersonal relationships.Conclusion: This study has shown that the construction of the senses among parents towards the sick situation of their infants is under the influence of several determinants. Given that, the senses constructed by these parents influence significantly their behaviors, reactions, and choices towards the situation of their sick infants. Taking these determinants into account when caring for sick newborns, infants and children is of great importance in order to participate in the reduction of infant morbidity and mortality rates at the national level.
Study’s aim: The objective of this study was to study the existing link between the carer/patient relationship and the renunciation of care for infants with perinatal asphyxia consequences.Materials and Methods: This is a qualitative exploratory descriptive study, carried out at the day hospital of the National Reference Center in Neonatology and Nutrition for infants who suffer from the consequences of perinatal asphyxia and who are followed by pediatricians at the center. As well as the home for cases whose parents have decided to stop monitoring their infants while they suffer from health complications following their perinatal asphyxia. Indeed, based on 255 cases of perinatal asphyxia having registered an abnormal evolution, 30 families were recruited; of which 15 families have infants monitored and 15 families have decided to resign care.Results: After saturation of the data and with a response rate of 100%, this study demonstrated that the relationship between carer and patients is a vector for the construction of the decision to respect medical appointments or to give up infants’ care. Also, this study attested that healthcare professionals’ behavior differed from one group to another. The group of parents of the monitored infants argued that the health professionals in the various care structures gave them psychological support, and encouraged them to accept the state of their infants’ health. While the parents of the untreated infants have reported comments showing that health professionals have been a source of demotivation for them. Their behavior was indecent and their language was filled with negative messages.Conclusion: This study attested that the health professional can encourage parents to respect the medical appointments of their infants and, as a corollary, to participate in improving their state of health. Demonstrating, therefore, the importance of educating health professionals on the importance of the relationship between carer and patients and consequently reduce the rate of the care’s renunciation, and as a result, participate in the reduction of morbidity and infant mortality rates.