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Pregnant in Japan: Deciding to Stay or Leave

In this 3 part series, we take a look at being pregnant in Japan.

By 3 min read 3

Congratulations on your pregnancy! Let your joy, excitement, and bliss override any fears of being pregnant in a foreign country. I will be writing a 3 part series on being pregnant in Japan so you can take control of your situation and make the best decisions possible for you and your family.

In this article, I will focus on how to decide if you will stay in Japan or move back to your home country. Below are some important questions to consider…

1. Is being able to read food and product labels important to you?

You will probably become more concerned with what you are putting into you body now that you have a delicate fetus trying to thrive. But before you start deeming foods as potentially toxic for your growing baby, keep in mind that pregnant women here continue to eat sushi, drink green and oolong tea, and eat cold cut meat, and they have perfectly healthy births. You can follow suit, or you can avoid certain foods if it gives you peace of mind.

2. Do you think you have enough space for your baby?

Babies don’t need nearly as many items as advertised, but, do you have an area for the baby to sleep, eat, have a diaper change? You can technically do all of these in one area, but ask yourself what amount of space you may be comfortable with. Many Japanese people I know didn’t even have a crib for their babies; they co-slept with them on their futons in tatami rooms.

3. Do you have a support system in Japan?

This may include family and friends who live in Japan or would be willing to visit and take care of you. Also, knowing people who have given birth in Japan will be invaluable. They will be your best resource in finding doctors, hospitals, products, English-speaking services, etc. Pregnancy and giving birth isn’t easy in any country, so having people you can rely on is very important.


4. Are your finances intact?

For this question, you must consider your salary, maternity leave, and health care. Japan’s national health plan does not cover pregnancy, but they offer coupons that will get you a discount on prenatal visits. In addition, you get gift money of ¥300-350,000 from the government to help you cover hospital expenses; however, you would need to pay the bill before the gift arrives.

Does your home country offer health coverage that is better than Japan’s? Would it cost more for you to move home or would it be more financially sound for you to stay in Japan?

5. Can you put your trust in Japan’s hospital staff?

Your hospital staff in Japan may or may not go along with your birth plan because, afterall, it is a different culture. But the goal will be the same as yours – to deliver a healthy baby. In a foreign country, the more flexible you are, the easier it will be for you. Keep in mind that Japan’s infant mortality rate is among the lowest in the world, so rest assured that you would be in good hands.

If you answered mostly yes to the above questions, you may be happy staying in Japan. If you answered mostly no, it may be time to start making plans to move back home – although, it doesn’t mean you have to leave right away nor do you have to leave permanently. No matter what you decide, pregnancy itself is a wonderful and memorable adventure, and it is most important that you are happy, healthy, and comfortable.

I sincerely hope this initial information has helped to walk you through a major decision. My next article will outline my experiences with prenatal visits, and the 3rd article in this series will list survival tips that cover issues such as morning sickness and train rides.

Until next time, good luck with your planning and decisions-making. It won’t be easy, but this will be the first of many important choices you will be making for your little one.

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  • Just_Some_Gaijin_Scum says:

    Excellent article; I’m looking forward to the follow-ups!

  • Todd says:

    We generally had a very positive experience with our pre-birth care and the delivery and stay in the hospital. Residents of Japan also have access to various types of midwives and birthing options which are all covered by insurance and recognized by the goverment.

    If you give birth in a hospital, there are some things to keep in mind while making your plans, though!

    Probably no one will consult with you about your post-birth preferences. Normally, your infant will be shown to you for a moment and probably given 5 minutes of ‘kangaroo care’, then whisked off to the nursery for tests. While it’s in the nursery, they will give it formula if it cries. They also try to keep the babies in the nursery unless the mothers request them, to give the mother time to recuperate. They won’t tell you these things before the birth, because it’s standard protocol in hospitals.

    Infants are usually awake for an hour and have a strong suck reflex, which is good for breast milk production and other reasons as well. After that hour they usually sleep for 24.

    You can request to delay the tests, have your infant near you at all times, and have the staff never give it formula, but you will need to specifically request to speak to the nurse in charge of post-natal care. I recommend requesting an actual sit-down meeting rather than just mentioning these things in passing sometime. You could set up this meeting with the receptionist when you are scheduling your final pre-delivery conference with your doctor.

    Once we got these kinks worked out, our stay in the hospital was very nice. All the nurses were very understanding of our wishes once we expressed them.

  • Mikey says:

    Great article! im so there Lisa, thanks for shining some light!!!



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