Yasuaki Kobayashi, Mizue Tsukui, Akimichi Shibata, and Yoshio Suda
OBJECTIVE: The Japan Obstetric Compensation System for Cerebral Palsy (JOCSC) was launched in January 2009 as the first nationwide no-fault compensation system. The aim of the study is to clarify the present situation of this compensation system in the pediatric and obstetric departments at a general hospital. METHOD: Children eligible for compensation are as follows; 1. Gestational week at 32nd week or later and birth weight of 1,400g or more, or 28th week or later with apparent asphyxia at birth. 2. Severe cerebral palsy not caused by congenital reasons or factors during the neonatal period. RESULT: Application for JOCSC was submitted for 11 patients, 5 of them born at our hospital and the remaining 6 born at other childbirth facilities, of these, 3 born at our hospital and 4 born at other childbirth facilities were authorized for compensation. The age at authorization for compensation ranged between 1 y 2 mo and 4 y 11 mo. Of the remaining 4 patients, 1 is still under application and 3 were judged as not being eligible for compensation, because of 2 with congenital reasons for the condition and 1 with the judgment as mild cerebral palsy. CONCLUSION: 1. In the pediatrics and obstetrics departments of a general hospital, there are numerous opportunities for JOCSC applications. In particular, pediatricians are closely involved in the JOCSC, since they often resuscitate and treat neonatal asphyxia, as well as diagnose and treat infants of cerebral palsy. 2. As to the authorization for JOCSC, it is required that the cause of cerebral palsy be related to delivery. 3. Ten years have elapsed since the establishment of the JOCSC. Improved awareness of the medical staff and caregivers of patients with cerebral palsy about the JOCSC should be promoted.