{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T17:45:18Z","timestamp":1788371118803,"version":"build-2803163510"},"reference-count":14,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,2,2]],"date-time":"2027-02-02T00:00:00Z","timestamp":1801526400000},"content-version":"am","delay-in-days":277,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100019890","name":"University of Miyazaki Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019890","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Early Human Development"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.earlhumdev.2026.106495","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T07:45:23Z","timestamp":1769759123000},"page":"106495","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Significant reduction in intrapartum-related perinatal brain injury in infants born at \u226535\u00a0weeks' gestation: A regional population-based study over 15\u00a0years"],"prefix":"10.1016","volume":"216","author":[{"given":"Koutarou","family":"Doi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Kodama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Matsuzawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoko","family":"Goto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junsuke","family":"Muraoka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Midori","family":"Fujisaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoshi","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Taniguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Furuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuyuki","family":"Kawagoe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatoki","family":"Kaneko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Katsuragi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyomu","family":"Ikenoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Sameshima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"12","key":"10.1016\/j.earlhumdev.2026.106495_bb0005","doi-asserted-by":"crossref","first-page":"1494","DOI":"10.1111\/dmcn.15346","article-title":"Global prevalence of cerebral palsy: a systematic analysis","volume":"64","author":"McIntyre","year":"2022","journal-title":"Dev. Med. Child Neurol."},{"issue":"5","key":"10.1016\/j.earlhumdev.2026.106495_bb0010","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1111\/ppe.12950","article-title":"Public health indicators for cerebral palsy: a European collaborative study of the Surveillance of Cerebral Palsy in Europe network","volume":"37","author":"Arnaud","year":"2023","journal-title":"Paediatr. Perinat. Epidemiol."},{"key":"10.1016\/j.earlhumdev.2026.106495_bb0015","article-title":"Cerebral palsy","volume":"354","author":"Wimalasundera","year":"2016","journal-title":"BMJ"},{"issue":"4","key":"10.1016\/j.earlhumdev.2026.106495_bb0020","first-page":"951","article-title":"Executive summary: neonatal encephalopathy and neurologic outcome","volume":"123","author":"Committee on Obstetric Practice American Academy of Pediatrics","year":"2014","journal-title":"Obstet. Gynecol."},{"issue":"3","key":"10.1016\/j.earlhumdev.2026.106495_bb0025","doi-asserted-by":"crossref","first-page":"e148","DOI":"10.1542\/neo.22-3-e148","article-title":"Neonatal encephalopathy: beyond hypoxic-ischemic encephalopathy","volume":"22","author":"Russ","year":"2021","journal-title":"Neoreviews"},{"issue":"6","key":"10.1016\/j.earlhumdev.2026.106495_bb0030","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.ajog.2015.05.034","article-title":"Cerebral palsy: causes, pathways, and the role of genetic variants","volume":"213","author":"MacLennan","year":"2015","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"4","key":"10.1016\/j.earlhumdev.2026.106495_bb0035","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.earlhumdev.2008.10.007","article-title":"Intrapartum fetal heart rate patterns in infants (\u226534 weeks) with poor neurological outcome","volume":"85","author":"Kodama","year":"2009","journal-title":"Early Hum. Dev."},{"issue":"5","key":"10.1016\/j.earlhumdev.2026.106495_bb0040","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.earlhumdev.2007.08.004","article-title":"Risk factors for perinatal deaths in southern Japan: population-based analysis from 1998 to 2005","volume":"84","author":"Sameshima","year":"2008","journal-title":"Early Hum. Dev."},{"key":"10.1016\/j.earlhumdev.2026.106495_bb0045","doi-asserted-by":"crossref","DOI":"10.1155\/2011\/587390","article-title":"Applying the ecology model to perinatal medicine: from a regional population-based study","volume":"2011","author":"Tokunaga","year":"2011","journal-title":"J. Pregnancy"},{"issue":"6","key":"10.1016\/j.earlhumdev.2026.106495_bb0050","doi-asserted-by":"crossref","first-page":"706","DOI":"10.3109\/14767058.2011.587061","article-title":"Perinatal death and neurological damage as a sequential chain of poor outcome","volume":"25","author":"Doi","year":"2012","journal-title":"J. Matern. Fetal Neonatal Med."},{"issue":"1","key":"10.1016\/j.earlhumdev.2026.106495_bb0055","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/j.1447-0756.2007.00484.x","article-title":"Regional population-based study on pregnancy outcomes in women with diabetes mellitus in Japan","volume":"33","author":"Kodama","year":"2007","journal-title":"J. Obstet. Gynaecol. Res."},{"issue":"6","key":"10.1016\/j.earlhumdev.2026.106495_bb0060","doi-asserted-by":"crossref","first-page":"363","DOI":"10.7883\/yoken.JJID.2006.363","article-title":"A two-step strategy for detecting intrauterine cytomegalovirus infection with clinical manifestations in the mother, fetus, and newborn","volume":"59","author":"Kaneko","year":"2006","journal-title":"Jpn. J. Infect. Dis."},{"issue":"1","key":"10.1016\/j.earlhumdev.2026.106495_bb0070","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.ajog.2003.07.014","article-title":"Unselected low-risk pregnancies and the effect of continuous intrapartum fetal heart rate monitoring on umbilical blood gases and cerebral palsy","volume":"190","author":"Sameshima","year":"2004","journal-title":"Am. J. Obstet. Gynecol."},{"key":"10.1016\/j.earlhumdev.2026.106495_bb0075","doi-asserted-by":"crossref","DOI":"10.1155\/2016\/3658527","article-title":"The regional centralization of electronic fetal heart rate monitoring and its impact on neonatal acidemia and the cesarean birth rate","volume":"2016","author":"Michikata","year":"2016","journal-title":"J. Pregnancy"}],"container-title":["Early Human Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0378378226000186?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0378378226000186?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T08:57:18Z","timestamp":1773219438000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0378378226000186"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":14,"alternative-id":["S0378378226000186"],"URL":"https:\/\/doi.org\/10.1016\/j.earlhumdev.2026.106495","relation":{},"ISSN":["0378-3782"],"issn-type":[{"value":"0378-3782","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Significant reduction in intrapartum-related perinatal brain injury in infants born at \u226535\u00a0weeks' gestation: A regional population-based study over 15\u00a0years","name":"articletitle","label":"Article Title"},{"value":"Early Human Development","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.earlhumdev.2026.106495","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"106495"}}