**3. Investigation**

#### **3.1 Production of investigative report**

The purpose of the investigation is (i) to analyze the case from a medical point of view based on record and data on the cerebral palsy to learn knowledge for prevention and (ii) prevent conflict between childbirth facility and patient/family and bring it to early settlement by sharing investigative report for mutual understanding on the childbirth event. Unlike court system, this is a process of analysis genuinely from medical and midwifery point of view [10].


*The Japan Obstetric Compensation System for Cerebral Palsy: Novel System to Improve Quality… DOI: http://dx.doi.org/10.5772/intechopen.106760*

#### **Table 2.**

*Eligibility criteria: criteria of 2009, 2015 and 2022.*

The Investigation Committee holds seven subcommittees to compile a draft report (**Figure 3**). One committee is composed of 14 members: nine obstetricians including the chairperson, two pediatricians, one midwife, and two lawyers. The role of the medical members is to analyze the case from medical viewpoint, while the lawyers provide views so that the report will be easy for patient/family to understand. A working manual was crafted to ensure that the reports are compiled in standardized fashion. The draft report compiled therein is reviewed in the Investigative Committee for approval. At the same time, a "summarized edition" of the investigative report is issued with personal identifiers deleted and held available on the system's website for prevention and improvement of perinatal care.


#### **Table 3.**

*Statistics of eligible case by birth year.*

#### **Figure 2.**

*Sum of compensation payment (30 million JPY = 342,000 USD).*
