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The incidence of cerebral palsy (CP) is influenced by perinatal medicine and regional medical systems. We investigated the recent incidence of CP and the current problems of children with CP living at home under an advanced perinatal medical system. A clinical datasheet survey was performed among 13 hospitals and 6 rehabilitation facilities treating children with CP born in Tochigi Prefecture (Japan) to estimate the incidence of CP among children born between 2009 and 2013. The severity of motor and intellectual impairment, presumed c