Becoming a parent is a life-changing experience, but navigating pregnancy and childbirth in a foreign country adds a whole new layer of complexity. If you’re expecting in Japan, you might be feeling overwhelmed with questions: How does the Japanese maternity care system work? What should you expect during prenatal checkups? How do you prepare for childbirth in a country with different customs, languages, and healthcare practices? How can I navigate all these unfamiliar ways of giving birth in a foreign land?
I can still vividly recall my own journey when I was pregnant with my second child here in Japan. It was a whirlwind of emotions. Just a week after earning my Japanese driver’s license—a milestone I’d been working toward—I discovered I was pregnant. At first, joy swept over me, but it was quickly followed by worry. It had been eight years since I had my first child, and this time, everything felt different. I was in a foreign land with only my husband, both of us working full-time, trying to navigate a new reality. And to top it all off, this was during the height of the COVID-19 pandemic, with restrictions and precautions everywhere, especially for expectant mothers.
It wasn’t easy. There were moments of joy and excitement, yes, but also sleepless nights filled with anxiety about the unknown. What helped me most was finding the right information, leaning on local resources, and learning to adapt to Japan’s unique maternity care system. Looking back, I can say it was one of the most challenging yet rewarding journeys I’ve ever been on—and I want to share those experiences with you.
In this guide, I’ll walk you through everything I’ve learned about expecting in Japan, from navigating prenatal care and choosing a hospital to preparing for childbirth and postpartum care. Whether you’re a first-time parent or adding another little one to your family, I hope this blog provides the insight and encouragement you need to make this chapter of your life a little easier—and a lot more memorable.
Let’s dive into this incredible journey together
1. Understanding the Japanese Maternity Care System
When you’re expecting a baby in Japan, understanding the maternity care system is key to ensuring a smooth and stress-free pregnancy. As a foreigner, the process might seem overwhelming at first, but once you get familiar with how things work, you’ll find that Japan offers excellent maternity care services designed to support expectant mothers every step of the way.
Overview of Prenatal Care in Japan
After discovering I was pregnant, I was promptly scheduled for monthly check-ups—a standard practice in Japan. These regular visits allow doctors to monitor the baby’s growth, address any concerns, and provide guidance for a healthy pregnancy. From the early stages of pregnancy until around 28 weeks, expect to visit your doctor once a month. As your due date approaches, these appointments increase to biweekly, and then weekly during the final month.
Japan places a strong emphasis on thorough prenatal care. During these check-ups, you’ll undergo routine tests such as ultrasounds, blood pressure monitoring, urine tests, and weight checks. Doctors here are highly detailed, which ensures that any potential concerns are caught early.
Key Differences Between Japanese and Some Asian and Western Maternity Practices
One thing that stood out to me as a foreigner was how differently pregnancy is approached here compared to back home. For instance:
• Minimal use of epidurals: Unlike many Asian and Western countries, natural childbirth without an epidural is the norm in Japan. If you prefer pain relief during labor, it’s crucial to confirm with your chosen hospital early, as not all facilities offer epidurals.
• Focus on nutrition and weight management: Japanese doctors emphasize maintaining a healthy weight during pregnancy. You might receive strict advice about diet and exercise, which can feel surprising if you’re used to a more relaxed approach.
• Frequent ultrasounds: In Japan, it’s common to have an ultrasound at almost every prenatal appointment, giving you regular glimpses of your baby’s development.
Understanding these cultural differences will help you feel more prepared and confident throughout your pregnancy journey.
Choosing a Clinic or Hospital: What to Consider
Selecting the right clinic or hospital for your maternity care is an important decision. Here are a few tips to help you decide:
1. Language Support: If you’re not fluent in Japanese, look for hospitals or clinics with English-speaking staff. Many urban areas have facilities catering to foreign residents.
2. Proximity: Choose a location that’s close to home, especially as you near your due date.
3. Delivery Preferences: Confirm whether the facility offers options like epidurals, birthing pools, or other preferences you might have.
4. Costs: While Japan’s healthcare system covers many expenses, there are out-of-pocket costs for prenatal check-ups and delivery. Discuss estimated fees during your initial consultation.
Don’t hesitate to ask friends or other foreign moms for recommendations—personal experiences can be invaluable when making your choice.
Health Insurance and Maternity Costs: What’s Covered?
In Japan, health insurance significantly reduces the financial burden of pregnancy and childbirth. Prenatal check-ups are typically not covered by insurance, but the government provides financial support in the form of check-up coupons. These are given to you when you register your pregnancy with the city hall. The cost of delivery, however, is usually out-of-pocket, ranging from ¥300,000 to ¥600,000, depending on the hospital and the type of birth.
The good news? Japan’s health insurance system offers a Childbirth and Childcare Lump-Sum Grant (出産育児一時金), which reimburses up to ¥500,000 to cover delivery costs. As of April 2023, the lump-sum amount was increased from ¥420,000 to ¥500,000, making a significant difference in the financial burden for many expectant families. This grant is available to all residents, regardless of nationality, as long as you are enrolled in Japan’s national health insurance system. Be sure to check with your health insurance provider to understand the application process.
Maternity Health Booklet (Boshi Kenko Techo): How to Obtain and Use It
One of the first steps when you find out you’re pregnant in Japan is to visit your local city hall to register your pregnancy. In return, you’ll receive the Boshi Kenko Techo, or Maternal and Child Health Handbook. This booklet is invaluable—it tracks your pregnancy progress, your baby’s development after birth, vaccination schedules, and other health-related milestones.
For foreign moms, the great news is that many city governments offer translated versions of this booklet in languages like English, Chinese, and Portuguese. Having a version in your language can make it much easier to stay informed and communicate with your healthcare provider.
Here’s a tip from my experience: Don’t lose this booklet! It will be needed for everything from prenatal check-ups to your child’s health appointments after birth.
Financial Support for Expecting Parents: Recent Updates
The Japanese government has been making strides to provide more financial support to expecting parents, making it easier to manage the costs of pregnancy and childbirth. Here are the latest updates:
• Increased Lump-Sum Childbirth Allowance: As of April 2023, the Childbirth Lump-Sum Allowance was increased to ¥500,000, up from ¥420,000. This allowance is a one-time payment designed to help cover the costs of childbirth, including hospital fees. If your expenses are less than ¥500,000, the remaining amount will be refunded. For more information on how to apply for this allowance, visit the Japan Health Info website.
• Support for Low-Income Expectant Mothers: The government has introduced subsidies to cover the cost of your first obstetric consultation, helping low-income families access essential care.
• Child Allowance System Changes: Starting in October 2024, the child allowance system will expand eligibility and increase support for larger families. Children will now be eligible for the allowance until their 18th birthday, and families with more than two children will receive a higher monthly allowance of ¥30,000 per child.
• Municipal Subsidies: Many local governments offer additional financial support. For instance, Minato City provides a subsidy of up to ¥480,000 for mothers giving birth to multiple children. Always check with your local city hall for specific details on what’s available in your area.
• Future Plans for Full Coverage: The Japanese government is considering implementing full coverage for childbirth expenses through insurance by 2026, reflecting its commitment to addressing the country’s declining birthrate.
For detailed information on financial support and maternity care in Japan, visit government sources such as Japan Healthcare Info, Japan Kantei, and Semi-Sapporo for guidance tailored to foreigners in Japan.
My Personal Experience
I still remember the day I visited City Hall to register my pregnancy. The staff, knowing I wasn’t fluent in Japanese, kindly handed me the Tagalog-translated version of the Maternity Health Booklet. It was such a relief to have all the essential information in a language I could fully understand. I learned about available resources, support groups, and financial assistance programs, which helped me navigate my pregnancy with confidence.
Japan’s maternity care system might feel unfamiliar at first, but with the right resources and knowledge, it can be a deeply supportive experience. Remember, every step you take to prepare—whether it’s understanding prenatal care schedules or registering for your maternity handbook—brings you closer to meeting your little one.
2. Navigating Prenatal Care as a Foreigner
Bringing a new life into the world is an exciting journey, but navigating prenatal care in a foreign country can feel overwhelming, especially when faced with language barriers, unfamiliar medical systems, and cultural differences. In Japan, prenatal care is highly structured, ensuring both mother and baby receive thorough monitoring and essential support throughout pregnancy.
For foreign mothers-to-be, understanding how to access medical services, schedule check-ups, and utilize government support programs can make all the difference in experiencing a smooth and stress-free pregnancy. Whether you’re newly pregnant or planning to conceive, this guide will walk you through everything you need to know about prenatal care in Japan, so you can feel confident and well-prepared every step of the way.
Finding English-speaking Doctors and Clinics
One of the first hurdles for many foreign expectant mothers is finding a doctor or clinic that offers English support. While larger hospitals in cities like Tokyo, Osaka, and Nagoya often have English-speaking staff, smaller clinics may not. Here are some tips to help you find the right maternity care provider:
• Check your city’s official website – Many local governments provide lists of hospitals and clinics with English-speaking staff.
• Use online directories – Websites like the Japan Healthcare Info (JHI) or Medical Care can help locate English-friendly facilities.
• Ask in foreign communities – Many foreign moms in Japan share recommendations and experiences in Facebook groups, Reddit threads, and online forums.
• Consider international hospitals – If you prefer full English support, and are in the Tokyo area, clinics like the Tokyo Medical and Surgical Clinic or St. Luke’s International Hospital offer English-speaking services but may have higher costs.
In Gifu, there are several clinics and hospitals that offer English-speaking support for foreign residents seeking medical care, including maternity and general health services:
• Gifu Prefectural General Medical Center: This hospital provides comprehensive medical services, including obstetrics and gynecology, with English-speaking staff available.
Address: 4-6-1 Noisshiki, Gifu City, Gifu Prefecture, 500-8717
Phone: 058-246-1111
Website: https://www.gifu-hp.jp/
• Gifu University Hospital: As a university-affiliated hospital, it offers a range of medical services, including obstetrics and gynecology, with English-speaking staff.
Address: 1-1 Yanagido, Gifu City, Gifu Prefecture, 501-1194
Phone: 058-230-6000
Website: https://www.hosp.gifu-u.ac.jp/eng/
• Matsunami General Hospital: This hospital offers comprehensive medical services, including maternity care, with English-speaking staff available.
Address: 185-1 Dendai, Kasamatsu-cho, Hashima-gun, Gifu Prefecture, 501-6062
Phone: 058-388-0111
Website: https://www.matsunami-hsp.or.jp/english/
• Bell-Net Group: An obstetrics and gynecology group operating mainly in Aichi and Gifu prefectures, providing a dedicated language support team to assist foreign residents throughout their pregnancy and childbirth experiences.
Website: https://www.kishokai.or.jp/cls/en/
Please note that while these facilities offer English-speaking support, it’s advisable to contact them directly to confirm the availability of services and to schedule appointments.
My Story: Finding the Right Maternity Clinic
When I discovered I was pregnant with my second child, my biggest priority was finding a top-notch maternity and birthing clinic in my area. It had been eight years since my first pregnancy, and I wanted to ensure I was receiving the best care possible. After researching, I chose the Nakanishi Clinic in Tajimi City.
Unlike some larger hospitals, there were no English-speaking staff at the clinic. However, the doctor took extra time to explain everything in detail during each visit, ensuring I understood every step of my pregnancy journey. While it was sometimes challenging to navigate medical conversations in Japanese, his patience and thorough explanations made me feel reassured.
One of the most valuable resources I received from Nakanishi Clinic was a maternity textbook called お母さんのためのマタニティテキスト (“For Mom Maternity Textbook”). This booklet was filled with essential information about pregnancy, childbirth, nutrition, and postpartum care—everything I needed to know.
However, since the textbook was entirely in Japanese, I had to find a way to fully understand its contents. My approach? I took the time to translate key sections into English, ensuring I could absorb all the necessary details. This process required effort, but it was worth it because the textbook became my go-to guide throughout my pregnancy.
If you’re expecting in Japan and receive a similar maternity textbook from your clinic, here are some tips to make it more accessible:
• Check with the clinic if they have an English version or if they can provide any translation support.
• Use a translation app like Google Translate to scan and translate text in real time.
• Ask a Japanese-speaking friend or partner to help translate key sections.
• Take notes in your preferred language to keep track of important details.
This book, along with the Maternity and Child Health Handbook (Boshi Kenko Techo) provided by the city office, played a crucial role in helping me navigate pregnancy in Japan. It’s a reminder that even with language barriers, there are always ways to access the information you need to ensure a healthy and smooth pregnancy journey.
Communication Tips for Non-Japanese Speakers
Even if you find an English-speaking doctor, most of the nurses, receptionists, and documents will likely be in Japanese. Here’s how to navigate these language barriers:
• Learn key pregnancy-related terms – Knowing words like “ultrasound” (エコー, ekō), “morning sickness” (つわり, tsuwari), and “due date” (出産予定日, shussan yoteibi) can help.
• Use a translation app – Apps like Google Translate or VoiceTra can translate medical terms and even help with conversations.
• Bring a Japanese-speaking friend or partner – If possible, having someone who can interpret during appointments can be a big help.
• Ask for visual explanations – If you don’t understand something, ask the doctor to draw diagrams or show images to clarify.
In my case, I used Google Translate extensively and took notes in English after each check-up to keep track of important details.
English-Speaking Maternity Clinics and Hospitals in Japan
Navigating prenatal care in Japan as a foreigner can be challenging, especially when seeking English-speaking support. To assist you, here’s a comprehensive list of maternity clinics and hospitals across major Japanese cities that offer services in English.
Tokyo
• Sanno Birth Center – Most doctors speak English; interpretation services are available.
• Kishi Clinic Femina – Advanced medical care for women; physicians affiliated with top medical centers.
• Ebine Women’s Clinic – Comprehensive women’s health services, including pregnancy care; English-speaking staff.
• Sayaka Women’s Clinic – This private gynecological clinic is recognized globally for its expertise in women’s health.
• Tokyo Mother’s Clinic – Offers prenatal checkups, fetal screening, painless delivery options, and postpartum care; services available in English.
• St. Luke’s International Hospital – Designated as a Perinatal Medical Center; offers integrated women’s health services.
Gifu
• Gifu Prefectural General Medical Center – Provides medical services with English-speaking staff.
• Gifu University Hospital – Offers assistance in multiple languages, including English.
• Matsunami General Hospital – Comprehensive medical services with English-speaking staff.
• MISAO Health Clinic – Offers English-supported medical services by reservation.
• Yokoyama Maternity Hospital – Specializes in obstetrics and gynecology services; English-speaking staff available.
• Bell-Net Group – Obstetrics and gynecology group with a dedicated language support team; operates mainly in Aichi and Gifu prefectures.
Osaka
• Ladies & Maternity Clinic Santa Cruz – Some doctors speak English and offer obstetrics, prenatal diagnosis, gynecology, infertility treatments, and child clinic services.
Yokohama
• The Bluff Clinic – English-friendly clinic that offers pregnancy-related services and can recommend suitable hospitals for delivery.
Hyogo
• Ladies & Maternity Clinic Santa Cruz – Some doctors speak English and offer obstetrics, prenatal diagnosis, gynecology, infertility treatments, and child care services.
Important Notes:
While some clinics and hospitals have English-speaking doctors, the availability of English-speaking staff may vary. It’s advisable to contact the facilities directly to confirm language support and schedule appointments. Some hospitals may require advance reservations for English-supported consultations, so contact them for any inquiries.
Routine Prenatal Checkups: What to Expect
In Japan, prenatal checkups follow a structured schedule, ensuring both mother and baby are closely monitored. Here’s what you can expect:
• First Trimester (Weeks 4-12): Blood tests, urine tests, ultrasound to confirm pregnancy, and initial health screenings.
• Second Trimester (Weeks 13-27): Monthly checkups, weight monitoring, baby’s growth check, and glucose test (to screen for gestational diabetes).
• Third Trimester (Weeks 28-40): Bi-weekly then weekly checkups, Group B Strep test, labor preparation, and final ultrasound.
Each city provides prenatal checkup vouchers (妊婦健診補助券, ninpu kenshin hojoken), which help cover the cost of medical visits. These vouchers can be obtained from the city hall when you register your pregnancy.
💡 Tip: Japan has less focus on weight gain than some Asian and Western countries, and doctors may strongly advise controlling weight. If this advice feels strict, understand it’s part of Japan’s cultural approach to maternal health.
Managing Cultural Differences in Pregnancy Advice
Pregnancy care in Japan comes with some unique cultural perspectives that may be different from what you’re used to:
• Weight gain restrictions – Japanese doctors often recommend less weight gain than Western standards, sometimes advising a limit of 7-12 kg (compared to 11-16 kg in Western countries).
• Diet recommendations – Some clinics may discourage eating raw fish, while others say it’s safe in moderation. Green tea is also sometimes limited due to its caffeine content.
• Active lifestyle expectations – Many Japanese doctors encourage daily movement and walking, even late into pregnancy.
If a certain recommendation doesn’t align with what you believe, it’s okay to ask questions or seek a second opinion. Understanding why a doctor gives specific advice can help you make informed decisions.
Dealing with Morning Sickness and Common Pregnancy Issues in Japan
Morning sickness (つわり, tsuwari) is common, but in Japan, there are unique remedies and approaches to managing it:
• Pocari Sweat (a mild electrolyte drink) is often recommended for staying hydrated.
• “Umeboshi” (pickled plums) are believed to help with nausea.
• Rice porridge (お粥, okayu) is a gentle food that’s easy on the stomach.
💡 Important: If morning sickness is severe (hyperemesis gravidarum), some hospitals offer IV fluids and hospitalization to prevent dehydration.
For other common pregnancy issues:
• Constipation – Due to high iron supplements in prenatal vitamins, doctors often recommend yogurt, fiber-rich foods, or mild laxatives.
• Swelling (Edema) – Many doctors encourage light walking and low-sodium diets to manage swelling.
• Back Pain – Maternity belts (マタニティベルト) are commonly used in Japan and can be purchased at baby stores like Akachan Honpo or Nishimatsuya.
It’s Gonna Be Daijobu Mama!
Navigating pregnancy in Japan as a foreigner can be challenging, but it is absolutely manageable with the right resources and mindset. Whether it’s finding the right English-speaking doctor, learning to communicate effectively, or understanding cultural differences in care, being prepared will help you feel more confident.
Most importantly, remember—you’re not alone! Connecting with other foreign moms in Japan can be one of the best ways to get advice, share experiences, and find emotional support throughout your pregnancy journey.
3. Preparing for Childbirth in Japan: What Expectant Moms Should Know
Bringing a baby into the world is an incredible journey—one filled with excitement, anticipation, and sometimes a bit of uncertainty. If you’re preparing for childbirth in Japan, you might have questions about where to give birth, what options you have, and how to navigate the healthcare system as a foreign parent. Fortunately, Japan is known for its high-quality maternal care, and with the right information, you can confidently plan for a smooth and positive birth experience.
Now, let’s dive into the key aspects of childbirth preparation, from choosing the right birth facility to packing your hospital bag and making a birth plan that aligns with your preferences.
Types of Birth Facilities in Japan: Hospitals, Clinics, and Birthing Centers
In Japan, you have three primary options for where to give birth:
• Hospitals (病院, Byōin) – Large medical institutions equipped to handle both routine and high-risk pregnancies. These facilities have advanced medical equipment, neonatal intensive care units (NICUs), and emergency care services, making them a preferred choice for high-risk pregnancies or those who want the security of a hospital setting. Some well-known hospitals offering maternity care include:
1. St. Luke’s International Hospital (Tokyo) – A well-respected hospital with English-speaking staff and comprehensive maternity services.
2. Aiiku Hospital (Tokyo) – Known for its English-speaking support and natural birth options.
3. Japanese Red Cross Medical Center (Tokyo) – The Japanese Red Cross Medical Center in Tokyo offers comprehensive maternity care and supports international patients. As a baby- and mother-friendly hospital, they emphasize perinatal safety and aim to nurture maternal instincts during childbirth and childcare. They provide supportive care to ensure healthy living and growth for both mother and baby.
• Maternity Clinics (産婦人科医院, Sanfujinka Iin) – These smaller, private clinics specialize in obstetrics and gynecology and provide a more personalized and comfortable birthing experience. However, they may have limited medical equipment and fewer beds, meaning they typically only accept low-risk pregnancies. Some well-known maternity clinics include:
1. Kinoshita Ladies Clinic (Nagoya) – Offers comprehensive maternity care in a private setting. https://www.kinoshita-lc.com/
2. Sanno Birth Center (Tokyo) – Known for its English-speaking services and focus on natural birth.
• Birth Centers (助産院, Josanin) – These midwife-led centers provide a home-like environment with a strong emphasis on natural birthing methods. They are suitable for low-risk pregnancies, and medical interventions are minimal. If complications arise, the mother is transferred to a hospital.
1. Tsuchiya Birth Center (Tokyo) – A well-known birth center for women seeking a natural birth experience. https://www.tsuchiyaclinic.com/
Gifu and Nearby Hospitals and Birthing Clinics
Here is the list of the few maternity clinics in Gifu and Aichi, including both hospitals and specialized maternity clinics. Each entry provides brief information about the clinic or hospital, address, and its website:
1. Nakanishi Women’s Clinic (中西産婦人科医院)
• Description: Specializes in obstetrics and gynecology, offering comprehensive prenatal and postnatal care.
• Address: 1-45 Taishomachi, Tajimi City, Gifu Prefecture
• Website: Nakanishi Women’s Clinic
2. Gifu Prefectural Tajimi Hospital
For inquiries related to the Maternal and Birthing Section (Obstetrics and Gynecology Department) at Gifu Prefectural Tajimi Hospital, you can contact the hospital’s main line:
• Website: http://www.tajimi-hospital.jp/
• Address: 5-161 Maebata-cho, Tajimi-shi, Gifu 507-8522, Japan
3. Maternity Clinic Kazumi (マタニティクリニック和美)
• Description: Offers comprehensive prenatal care and support for expectant mothers, focusing on natural childbirth experiences.
• Address: 5-2-11 Gifu, Gifu Prefecture
• Website: Maternity Clinic Kazumi
4. Rose Bell Clinic
Description: Offers obstetrics, gynecology, and pediatrics services, providing comprehensive maternity care.
Address: 2975-1 Shimoedo Nobayashi, Kani City, Gifu Prefecture
• Website: Rose Bell Clinic
5. Alps Bell Clinic
Description: Provides obstetrics and gynecology services with a focus on personalized maternity care.
Address: 310 Yamada Town, Takayama City, Gifu Prefecture
• Website: Alps Bell Clinic
6. Iris Bell Clinic
Description: Offers obstetrics and gynecology services, ensuring comprehensive care for expectant mothers.
Address: 4-6 Marunouchi, Takehana-cho, Hashima City, Gifu Prefecture
• Website: Iris Bell Clinic
These facilities offer a range of maternity services to support expectant mothers in Gifu Prefecture. It’s advisable to contact the clinics or hospitals directly to confirm the services they offer and to schedule appointments.
Additional Recommendations:
• Language Support: While many clinics and hospitals in Japan primarily offer services in Japanese, some facilities may provide English support or translation services. It’s advisable to contact the clinics directly to inquire about language assistance.
• Maternity Classes: Availability of maternity classes, especially in English, may vary. Facilities like the Sanno Birth Center in Tokyo are known for offering classes in English. It’s recommended to contact local clinics or hospitals to inquire about available classes.
• Hospital Bag Checklist: It’s essential to confirm with your chosen facility regarding the items they provide and any additional items you should bring.
• Birth Plan Preparation: Discussing your birth plan with your healthcare provider is crucial to ensure your preferences are understood and can be accommodated within the facility’s capabilities.
Natural Birth vs. C-Section: What to Expect in Japan
Japan strongly encourages natural childbirth, and C-sections are usually only performed when medically necessary. The C-section rate in Japan is lower than in many Asian and Western countries, as doctors prioritize vaginal births unless complications arise.
However, if you prefer a scheduled C-section, you may need to discuss your options early with your healthcare provider, as elective C-sections are less common. Some hospitals, such as Aiiku Hospital (Tokyo), offer painless delivery options and epidurals, which are not widely available in Japan.
Maternity Classes and Workshops for Foreign Parents
Attending a maternity class can boost your confidence, ease anxiety, and help you prepare for childbirth. Many hospitals and clinics offer classes, and some even have English-friendly options. These classes typically cover:
✔️ Prenatal Care – Nutrition, exercise, and self-care during pregnancy.
✔️ Labor & Delivery – Pain management techniques, birthing positions, and hospital procedures.
✔️ Newborn Care – Breastfeeding, diapering, and soothing techniques.
Some locations offering English-supported maternity classes include:
• Tokyo Pregnancy Group – A support group for expectant moms in Tokyo, offering resources and meetups. https://tokyopregnancygroup.blogspot.com/
• Aiiku Hospital – Provides birthing classes for international mothers.
If you’re in Gifu, check with your municipal office or hospital to see if they offer classes. You can also inquire at:
• Gifu Prefectural General Medical Center – Offers some support for foreign mothers.
Hospital Bag Checklist: What to Pack for Delivery Day
Packing your hospital bag ahead of time ensures you have everything you need for a comfortable stay. While some hospitals provide certain essentials, it’s always best to check their policies in advance.
Essentials for Mom:
✔️ Documents – Insurance card, hospital registration card, Maternal and Child Health Handbook (Boshi Kenko Techo).
✔️ Clothing – Front-opening nightwear, comfortable underwear, socks, and slippers.
✔️ Toiletries – Toothbrush, toothpaste, hairbrush, face towels, lip balm, and skincare essentials.
Essentials for Baby:
✔️ Clothing – Onesies, swaddle blankets, and a going-home outfit.
✔️ Diapers & Wipes – Some hospitals provide these, but it’s best to bring a small pack.
🔗 Tip: Many hospitals list their required items on their websites, so check your hospital’s official page before packing.
Creating a Birth Plan: Communicating Your Preferences
A birth plan is a written document outlining your childbirth preferences, helping you communicate with your medical team. While Japanese hospitals tend to follow strict medical protocols, some are open to birth plans, especially private clinics and birth centers.
Key Aspects to Include in Your Birth Plan:
✔️ Labor Preferences – Pain management options, birthing positions, ambiance (music, lighting, etc.).
✔️ Delivery Preferences – Delayed cord clamping, episiotomy consent, immediate skin-to-skin contact.
✔️ Postpartum Care – Rooming-in with the baby, breastfeeding preferences, visitor guidelines.
💡 Pro Tip: Some hospitals may not accept detailed birth plans, so discussing your wishes in advance with your doctor is crucial.
Preparing for Childbirth: Facing the Unexpected with Confidence
As my due date approached, I felt a mix of excitement and nervous anticipation. Like any expectant mother, I hoped for a smooth delivery. However, during one of my routine checkups, my doctor carefully examined my ultrasound and noticed something concerning—my baby was in a breech position.
Hearing those words immediately filled me with worry. I had always envisioned a natural birth, and now, there was uncertainty. My doctor explained the risks and possible complications of delivering a breech baby. To ensure both my safety and my baby’s, they decided to refer me to the Prefectural Hospital, where they had the necessary facilities and expertise to handle any complications that might arise during labor.
Though the situation was unexpected, I trusted the medical system here in Japan. The doctors were thorough, the nurses reassuring, and every decision made was in the best interest of my baby and me. The transition to a different hospital felt overwhelming at first, but knowing that I was in capable hands helped ease my concerns.
Pregnancy and childbirth don’t always go as planned, and that’s okay. What truly matters is being surrounded by professionals who prioritize your well-being and a healthcare system that ensures you and your baby receive the best possible care. Looking back, I’m grateful for the proactive approach of my doctors, the detailed monitoring, and the unwavering support I received.
To all expectant mothers, know that every pregnancy journey is unique. There may be unexpected turns, but with the right medical guidance and a positive mindset, you can face them with confidence. You are stronger than you think, and no matter how your baby arrives into the world, the most important thing is that they do so safely and surrounded by love.
This is my room before and after I gave birth. The doctor and nurses will visit you once in a while to check your health status. Your meals will also be delivered to your room.
4. Postpartum Hospital Care in Japan
Bringing a new life into the world is an incredible experience, but the journey of motherhood doesn’t stop at childbirth. The postpartum period is a time of healing, learning, and adjusting to life with your newborn. While this phase can be overwhelming, Japan has a well-established support system designed to help new mothers recover and provide the best care for their babies.
Unlike in some countries where new mothers are discharged within 24 to 48 hours, Japan has a more extended postpartum hospital stay, usually five to seven days after a vaginal birth and about ten days for a C-section. This longer stay allows mothers to rest, recover, and receive guidance on newborn care, breastfeeding, and personal recovery from medical professionals.
As a foreign mom, understanding what’s available to you—whether it’s postpartum hospital care, home visits, financial assistance, or newborn health checkups—can make a huge difference. This section will guide you through everything you need to know, ensuring you feel supported and well-prepared in this new chapter of your life.
During your hospital stay, you can expect:
• Daily newborn checkups to monitor weight, feeding, and overall health.
• Postpartum checkups to ensure your body is healing properly.
• Breastfeeding support, including latching techniques and milk production guidance.
• Newborn care training, teaching you how to bathe, change diapers, and soothe your baby.
Some hospitals even offer postpartum meal plans that are rich in nutrients to help with recovery. If you have specific dietary needs, it’s good to inform the hospital in advance.
Giving Birth Alone: A Test of Strength and Trust
Giving birth is never easy, but doing it alone adds another layer of challenge. Due to the pandemic at the time, strict hospital policies meant that expectant mothers had to face labor and delivery without their partners or family by their side. It was just me, the doctors, and the nurses in the delivery room.
That morning, I started feeling contractions—mild at first, but they kept coming back. As the hours passed, the pain intensified. By 2 PM, it became unbearable. The nurses, sensing my struggle, did their best to comfort me. They massaged my back, reassured me, and reminded me that I was doing great. Their kindness and encouragement gave me the strength to push through.
Then, at 6:18 PM, after hours of labor, my second baby was born naturally. The relief and joy were overwhelming. But almost immediately, I was told that she had minor breathing issues and needed to be monitored in the NICU. My heart sank. I had just brought her into the world, yet I couldn’t hold her in my arms.
The experience was emotionally tough, wanting nothing more than to be with my newborn, but knowing she needed extra care. Still, I held onto hope. I reminded myself that she was in good hands, and soon, I’d be able to hold her and take her home.
Looking back, this journey taught me resilience, trust, and the deep strength that comes with motherhood. No matter how difficult the process, the love we have for our children keeps us going.
My Experience After Giving Birth
The day after giving birth, I was told to take a shower. I was completely shocked. In the Philippines, as with my first child, I was advised to rest completely and avoid any major movements. But here in Japan, things were different. Trusting the expertise of the medical staff, I followed their advice and took that first post-birth shower, despite the lingering pain from labor. After all, I had just gone through eight hours of intense contractions, and the physical toll was undeniable.
Shortly after, the nurses encouraged me to start breastfeeding. However, my body wasn’t quite ready—my nipples weren’t producing any milk yet. To help stimulate milk flow, the nurse massaged my breasts and pressed my nipples. It was painful—extremely painful—but I knew it was necessary. I wasn’t just following orders; I understood the immense benefits of colostrum for my newborn. That first milk, packed with essential nutrients and antibodies, was something I wanted my baby to receive, no matter how uncomfortable the process was for me.
After five days in the hospital, I was discharged. However, my daughter had to stay for another five days in the NICU. Leaving without her was difficult, but I knew she was in good hands. The experience was challenging, but it also reinforced my trust in Japan’s medical care system. Though different from what I was used to, I knew every step was taken with both my health and my baby’s well-being in mind.
Home Visits by Midwives (産後訪問, Sango Hōmon)
One of Japan’s most reassuring postpartum services is the home visit program, where a trained midwife or public health nurse visits new mothers at home. This service is usually offered for free or at a low cost by your local municipality.
These visits help with:
✔ Checking the mother’s recovery (uterus healing, postpartum bleeding, emotional well-being).
✔ Weighing the baby and ensuring proper growth.
✔ Providing breastfeeding support (many foreign moms struggle with this due to language barriers).
✔ Answering any concerns about newborn care or postpartum depression.
To apply for a home visit, check with your local City Hall (市役所, Shiyakusho) or Public Health Center (保健所, Hokenjo) after giving birth. Some local offices have English-speaking staff or translation services.
Registering Your Baby: Legal Procedures
Within 14 days of birth, you must register your baby at your local City Hall. Here’s what you need to do:
✅ Birth Registration (出生届, Shussei Todoke) – Bring the birth certificate issued by your hospital/clinic.
✅ Residence Registration (住民登録, Jumin Touroku) – If you’re a resident of Japan, your baby must be registered under your household.
✅ Health Insurance Registration (健康保険, Kenko Hoken) – If you or your spouse are enrolled in Japan’s National Health Insurance or Social Insurance, your baby will be added to the plan.
✅ Child Allowance Application (児童手当, Jidō Teate) – Apply for financial aid provided by the Japanese government for raising children.
Your City Hall may provide English-speaking assistance, so don’t hesitate to ask.
Financial Assistance and Support for New Mothers
Japan offers several financial benefits to help ease the costs of childbirth and newborn care. Here are the key programs:
💰 Lump-Sum Childbirth Allowance (出産育児一時金, Shussan Ikuji Ichikin) – Covers up to ¥500,000 of childbirth-related expenses. If you have Japanese health insurance, you can apply through your insurer.
💰 Child Allowance (児童手当, Jidō Teate) – A monthly financial benefit for parents to support child-rearing expenses. The amount varies based on your child’s age and household income.
💰 Subsidized Medical Care for Children (乳幼児医療費助成制度, Nyuyoji Iryouhi Josei Seido) – Many local governments cover most or all medical expenses for children up to a certain age. The age limit varies by city.
To apply for these benefits, visit your local City Hall or check their website.
Postpartum Recovery: Caring for Yourself
Recovering from childbirth requires just as much attention as caring for your newborn. Here are a few essential self-care tips:
💖 Rest as much as possible – Japanese culture emphasizes confinement (産後の床, Sango no Yuka), encouraging mothers to rest for the first few weeks. If you have support, take advantage of it.
In my case is not easy, since I’m all alone at home while my husband is working full-time and my second-grade elder daughter is in school. The journey isn’t easy but it’s all worth it.
💖 Eat nutritious foods – Postpartum meals in Japan often include fish, miso soup, rice, and iron-rich vegetables to replenish energy and aid recovery.
💖 Join a Mom’s Support Group – Many cities have community centers (児童館, Jidōkan) where you can meet other mothers and get advice.
💖 Seek mental health support – If you feel overwhelmed, Japan has postpartum depression hotlines and support groups for mothers. Organizations like Tokyo English Lifeline (TELL) offer English-speaking counseling.
Postpartum Care: The Beginning of a New Chapter
After five days in the hospital, I was finally able to go home. But while I was ready to settle into this new phase of motherhood, my baby needed to stay for five more days for additional check-ups. Thankfully, I was allowed to visit her every day—to hold her, feed her, and let her know how much we were looking forward to bringing her home. I made sure she felt my love and presence each time I was with her.
Adjusting to postpartum life wasn’t easy. At home, I was alone—my husband was working full-time, and my eldest daughter, a second grader, was in school. There were moments of exhaustion, moments when the weight of recovery and responsibility felt overwhelming. But through it all, I reminded myself: this phase, no matter how tough, was just a season. And every effort, every sacrifice, was worth it.
Postpartum recovery is different for every mother. Some may have family nearby to help, while others navigate this period mostly on their own. If you find yourself in a similar situation, know that you are not alone. Lean on available resources, seek support when needed, and most importantly, be kind to yourself. The journey may not be easy, but the love you pour into your little one makes every challenge worthwhile.
Newborn Healthcare: Checkups & Vaccinations
Ensuring your newborn’s health in Japan involves adhering to a structured schedule of health checkups and vaccinations. The Japanese Ministry of Health, Labour and Welfare (MHLW) https://www.mhlw.go.jp/english/ provides comprehensive guidelines to support parents during this crucial period.
Newborn Health Checkups in Japan
Japan offers a series of health checkups to monitor an infant’s growth and development. These checkups are typically conducted at municipal health centers or designated medical facilities and are often free or subsidized. The standard schedule includes:
1. One-month checkup: Assessment of weight, length, head circumference, feeding patterns, and general health.
2. Three to Four Months Checkup: Evaluation of physical and neurological development, including motor skills and reflexes.
3. Six to Seven Months Checkup: Monitoring growth milestones, introduction to solid foods, and guidance on nutrition.
4. Nine to Ten Months Checkup: Observation of mobility developments such as crawling or standing, and language progression.
5. One-Year Checkup: Comprehensive review of growth, development, and preparation for upcoming vaccinations.
These checkups provide an opportunity for parents to discuss any concerns and receive guidance on childcare practices.
Vaccination Schedule for Newborns in Japan
Japan’s immunization program is designed to protect children from various infectious diseases. The MHLW provides a recommended vaccination schedule, which includes the following vaccines:
1. Bacillus Calmette–Guérin (BCG):
• Purpose: Prevents tuberculosis.
• Schedule: Administered once between birth and six months of age.
2. Hepatitis B (HBV):
• Purpose: Prevents hepatitis B infection.
• Schedule: Three doses; typically at birth, one month, and six months of age.
3. Diphtheria, Tetanus, Pertussis, and Inactivated Poliovirus Vaccine (DTaP-IPV):
• Purpose: Combined vaccine protecting against diphtheria, tetanus, pertussis (whooping cough), and polio.
• Schedule: Four doses; at three months, four months, five months, and a booster between 18 and 24 months.
4. Haemophilus Influenzae Type b (Hib):
• Purpose: Prevents infections like meningitis caused by Haemophilus influenzae type b.
• Schedule: Three primary doses at two, three, and four months, with a booster at 12 months.
5. Pneumococcal Conjugate Vaccine (PCV13):
• Purpose: Protects against pneumococcal diseases such as pneumonia and meningitis.
• Schedule: Three primary doses at two, three, and four months, with a booster at 12 months.
6. Measles, Mumps, and Rubella (MMR):
• Purpose: Combined vaccine against measles, mumps, and rubella.
• Schedule: First dose between 12 and 24 months; second dose between five and seven years old.
7. Varicella (Chickenpox):
• Purpose: Prevents chickenpox infection.
• Schedule: Two doses; first between 12 and 15 months, and second between 18 months and two years.
8. Japanese Encephalitis:
• Purpose: Protects against the Japanese encephalitis virus.
• Schedule: Two doses between six months and seven years, with a booster one year after the second dose.
9. Rotavirus:
• Purpose: Prevents rotavirus gastroenteritis.
• Schedule: Depending on the vaccine type, either two or three oral doses starting from two months of age.
10. Human Papillomavirus (HPV):
• Purpose: Prevents HPV infections that can lead to cervical cancer.
• Schedule: Three doses for girls aged 12 to 16 years.
It’s essential to consult with your healthcare provider to ensure your child follows the appropriate vaccination schedule. They can provide personalized guidance based on your child’s health needs.
Additional Resources
For detailed information, refer to the “Guide to Pregnancy, Childbirth, and Child-Rearing in Japan” provided by the Ministry of Health, Labour and Welfare. visit their website here.
Additionally, the Maternal and Child Health Handbook (Boshi Kenko Techo) is a valuable resource that tracks your child’s health records and provides information on vaccinations and health checkups.
Understanding and adhering to Japan’s health checkups and vaccination schedules will help ensure your child’s healthy development and protect them from preventable diseases.
Finding English-speaking pediatricians and Postnatal Clinics
If you’re looking for English-speaking pediatricians or postnatal support, here are a few helpful resources:
🩺 Japan Healthcare Info (JHI) https://japanhealthinfo.com – A service that helps foreigners find English-speaking doctors.
🩺 AMDA International Medical Information Center https://www.amdamedicalcenter.com – Offers multilingual support for medical care in Japan.
For local recommendations, check your city’s Facebook groups for foreign parents or ask at your maternity hospital before discharge.
Final Thoughts: Embracing Motherhood in Japan with Confidence and Grace
Bringing a child into the world is a life-changing journey—one that is filled with excitement, joy, and, at times, uncertainty. As a foreign parent in Japan, navigating a healthcare system that may feel unfamiliar can be daunting. But rest assured, Japan’s maternal care system is among the best in the world, designed to prioritize the well-being of both mother and child at every step.
From choosing the right birth facility to preparing for delivery, understanding postnatal care, and ensuring your newborn’s health with timely checkups and vaccinations, each stage is supported by a well-structured system. The meticulous attention to maternal and infant health, combined with Japan’s advanced medical practices, ensures that you are in capable hands.
There may be moments of discomfort, cultural differences, and even self-doubt. You might find yourself surprised by certain customs, like taking a shower the day after giving birth or receiving firm encouragement to breastfeed even when it feels painful. But through it all, you’ll realize that each practice has a purpose—to support a smoother recovery, to give your baby the best start in life, and to empower you as a mother.
You are not alone in this journey. Whether it’s the dedicated healthcare professionals guiding you, the support of fellow mothers sharing their experiences, or the wealth of resources available, there is a network of care surrounding you. Lean into it, trust the process, and know that every challenge you face will only make you stronger.
Motherhood, no matter where you are in the world, is a profound experience—one that stretches your limits, deepens your love, and transforms your life in ways you never imagined. So embrace this beautiful chapter with confidence. You are more capable than you think, and the best part is that you’re not just raising a child; you’re growing into the incredible mother your baby will always look up to.
So take it easy mama, everything will gonna be daijoubu!
