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Perinatal care with a view to preventing cerebral palsy

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DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
卷 63, 期 2, 页码 156-161

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WILEY
DOI: 10.1111/dmcn.14754

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The birth prevalence of cerebral palsy is decreasing in high-income countries due to increased attention and advancements in research and clinical care. With continued partnerships with families and ongoing research, it is expected that the prevalence and severity of cerebral palsy will further decline, shifting focus to prevention in low- and middle-income countries.
Birth prevalence of cerebral palsy (CP) is declining in high-income countries, to as low as 1.4 per 1000 live births in the most recent international reports. This represents a 35% reduction in birth prevalence over a 15-year period. This reduction is underpinned by a heightened focus of attention towards all aspects of CP, including: increased awareness, better data collection, development of national networks and registries, an explosion of research in basic science, perinatal care, neonatal neurology, public health, early detection, and targeted early intervention. Quick uptake of evidence into practice has ensued and overall improvements in clinical care occurred concurrently. It is anticipated that with continued partnerships with families, ongoing research driving further clinical improvement and vice versa, birth prevalence and severity of CP will further decline and the focus will shift to prevention in low- and middle-income countries.

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