Pregnant Japan

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It’s amazing how two little lines popping up on a stick can produce such a range of conflicting emotions in a person. Hopefully, that range tends more toward elation rather than the shock-filled-terror end of the scale. Whatever the scenario, there is sure to be a healthy dose of fear in the mix somewhere. For expats living in Japan, aside from the realization that you are expecting, that fear may be compounded even further by having to figure out prenatal care, doctors, official registration and the like. I can relate.
Not to worry, Savvy Tokyo is here to help! After you’ve done your little happy dance, a few fist pumps and taken some deep calming breaths—read of the following tips.
If you suspect you may be pregnant, you’ll be happy to know that simple, pee-on-a-stick type home pregnancy tests (ninshin kensayaku) can typically be found at any drugstore for a few hundred yen. To confirm your pregnancy head to your local hospital or ladies’ clinic for a checkup.
Hospitals and birth centers book up very fast, so you will want to get onto this fairly quickly.
I went for my confirmation appointment when I was six-weeks pregnant amid much ribbing from my husband—who thought I was being a little overeager—only to find that the delivery suite at Kawasaki Municipal Tama Hospital (my local) was already fully booked for anyone beyond the eight week mark. Note that you don’t need to go to the facility where you wish to give birth for this initial checkup, but depending on the hospital, it may mean your name gets pencilled in even before confirmation.
Your doctor will confirm your pregnancy via transvaginal ultrasound. This can be a blessing and a curse. While it’s exciting to have a scan and possibly see your tiny, flashing bean straightaway, it can also be unnecessarily concerning if no heartbeat can be found, since it’s not always possible at such an early stage. So if not, try not to worry—your doctor will likely ask you to return the following week to try again.
Once your doctor spies a heartbeat, you will be issued with a certificate declaring the pregnancy confirmed (ninshin todoke).
After confirmation, take the ninshin todoke and your foreign residence card to your local health center to register the pregnancy. Upon registration you will receive a pregnancy goodie bag which includes:
You will need to take this to all of your prenatal appointments, child’s health checkups and vaccinations in the future for medical staff to record and refer to your medical information. Many foreign language translations of the handbook are also available.
Prenatal care in Japan is not covered by the National Health Insurance. However, according to your ward’s policies, you can receive discount coupons for checkups. Note that (at my hospital, at least) the fees for your initial confirmation appointment(s) can be reimbursed after the pregnancy is confirmed and the coupon book is obtained.
This badge, which charmingly reads “there is a baby in my belly,” provides you with an all-access pass to priority seating areas on public transport and disabled car parks. Attach it to your bag so that other passengers know you are pregnant and will (in theory) offer you their seat. In reality, I found that its efficacy varies according to the time of day and crowdedness of the train or bus.
This will depend on where you live. In my bag, I found guidebooks about child health and facilities specific to Kawasaki City as well as other sponsored booklets and coupons for baby products. In Minato Ward, residents are issued with a free bus pass for use on Chii buses until the end of the month in which the child turns one.
Generally speaking, your prenatal checkup schedule will look something like this:
This corresponds to around 15 checkups total—heaps compared to that in other countries. Additionally, ultrasounds are performed each time, which means you end up with quite the collection of pictures of your child from long before he/she is born. While it’s nice to have the constant reassurance, it also adds to the cost and can be a little inconvenient, especially if you are working (although employers are required to allow you the time off for appointments). If you find it too much, you may be able to request to space the appointments out more.
While you might find your first appointment pretty daunting with all the people scurrying about, hospital noises and forms to be completed, be assured that each checkup will likely follow the same pattern so you will quickly get the hang of it. If your Japanese abilities are limited, I would suggest bringing a translator with you on your first visit at least.
At my hospital each checkup took the following course, and took between one to 2 1/2 hours:
According to Japan’s Labor Standards Act, employers are required to allow mothers maternity leave from six weeks (for one baby and from 14 weeks for twins and more) prior to the due date until eight weeks after delivery. In addition, the Act on Childcare Leave provides for childcare leave until the child turns one (and until the child reaches one year and six months of age, if the parents take turns). During this time, labor and social insurance will cover up to 66 percent of the mother’s base salary, but every company will have their own regulations—so please make sure you confirm all details with your employer.
The best time for announcing your pregnancy to your employers will, of course, depend on your company’s culture, size and your relationship with your direct supervisors. You will also want to factor in whether you will need time off for prenatal appointments, morning sickness and when your precious baby bump starts to show. It goes without saying that your boss should find out privately and directly from you—this is particularly important in Japanese work culture.
I worked at a tight-knit office of seven workers and was the only person in my role. I also suffered from terrible morning sickness, so I told my boss quite early on—at around 13 weeks as soon as the initial “danger zone” of the first trimester had passed. He was very gracious and quick to give me time off as necessary, saying that I needed to prioritize my health.
In future articles on giving birth in Japan, we will provide an overview of birth options and the birth experiences of a number of other woman in Japan. If you have any specific questions, please leave a comment and we’ll be happy to address it.

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https://thewagamamadiaries.com/pregnant-in-japan
Перевести · 06.05.2020 · In the US, this period is after 12 weeks, but in Japan, it is at 16 weeks. Thus, pregnancy announcements in Japan are often made at the 16th week/5th month mark, …
https://savvytokyo.com/pregnancy-japan-first-steps
Перевести · 11.06.2016 · Prenatal care in Japan is not covered by the National Health Insurance. However, according to your ward’s policies, you can receive discount coupons for checkups. Note that (at my hospital, at least) the fees for your initial confirmation appointment(s) can be reimbursed after the pregnancy is confirmed and the coupon book is obtained.
https://www.tokyocreative.com/articles/18737-pregnant-in-japan
Перевести · So you're pregnant (or think you might be pregnant) and in Japan. Likely terrified of overcoming the language barriers and cultural differences, hopefully this will give you a little more information (and peace of mind) as you enter one of the most exciting times of your life!
https://www.babygaga.com/pregnant-in-japan-15-things-they-do-differently
Перевести · 29.05.2018 · Women who experienced pregnancy in Japan are often taken aback by the stringent weight gain "laws" of Japanese doctors. I say "laws" because they are heavily enforced. many North American women living in Japan during their pregnancy were appalled at the strict weight gain rules. We Westerners are encouraged to eat for two.
Being Pregnant: Japan vs North America
Pregnant in Japan: Finding out and the first steps!
Pregnant in Japan: Third Trimester Recap!
Pregnancy: US vs Japan | 10 Differences
https://en.m.wikipedia.org/wiki/Birth_in_Japan
Prenatal care
The vast majority (or, approximately 99%) of women who carry pregnancies to term in Japan are married. The majority of these women stop working once they become pregnant. Japanese women are required by the Maternal Child Health Act to register their pregnancies with the local government, and encouraged to be vigilant of their pregnancy by utilizing the Maternal and Child Health Handbook (boshi techo) distributed upon …
Prenatal care
The vast majority (or, approximately 99%) of women who carry pregnancies to term in Japan are married. The majority of these women stop working once they become pregnant. Japanese women are required by the Maternal Child Health Act to register their pregnancies with the local government, and encouraged to be vigilant of their pregnancy by utilizing the Maternal and Child Health Handbook (boshi techo) distributed upon registration. Over 90% of pregnancies are registered before the 20th week of gestation, suggesting that most women are visiting a doctor and receiving support from public health services.

Japanese women are advised to have prenatal visits every 4 weeks through 23 weeks gestation, every 2 weeks from 24 to 35 weeks, and every week after 36 weeks, for a total of 14 prenatal visit for a low to medium risk pregnancy. Ultrasound is used routinely to monitor the development of the fetus; most women have at least five fetal ultrasound exams during their pregnancy, a heavy use of technology considered necessary to assure a healthy baby and safe birth. Pregnant women in Japan have a strong belief related to ultrasonography. As a result, most pregnant women in Japan often receive fetal sonogram in every prenatal visit. They believe that monitoring normal development of the fetus will facilitate safe delivery. Additionally, because Japanese women prioritize safe delivery, episiotomy is often performed in all birth cases. Screenings for domestic violence and maternal depression are not often conducted during prenatal visits in Japan, while in the US 35% of women are screened for domestic violence and 47% for maternal depression.

Genetic screening tests, such as amniocentesis, are available in Japan but rarely used. Contrary to US culture, the idea of having a "normal" or "abnormal" fetus is not as much a part of the traditional Japanese conception of pregnancy. Rather, the Japanese paradigm sees a fetus as inherently a work in progress, or "perfectible." Ob-gyns rarely initiate open discussion of the possibility of undergoing amniocentesis or triple marker tests with pregnant patients. In fact, the Health Ministry issued guidelines in 1999 according to which ob-gyns have no obligation to inform patients of these tests. Having an abortion due to fetal abnormalities is very rare. Some theorize that the reason for this is because the role of mother is so highly valued, while others suggest that women, freed from the pressure of holding down a job during motherhood, are less daunted by the time required to care for a child with additional needs.

Local conceptualization of pregnancy
Pregnancy is considered a period of mental and physical discipline for women, a process during which women literally make their babies. The outcome of a pregnancy is deeply tied to a woman's conduct; women are considered responsible for minimizing miscarriage and premature birth. There are many theories as to why this may be. Primary to understanding this idea is the Japanese principle of ganbaru, a fundamental notion that can be traced to many aspects of Japanese lifestyle. It means a general ability to "try as hard as possible at whatever one does." For example, women are often reprimanded by their doctors to try harder if they are gaining what is considered too much weight (e.g. no more than 22 pounds is recommended, while some doctors advise less). If a pregnant Japanese woman is gaining too much weight, she may be instructed to weigh herself daily until she meets the goals set by her ob-gyn.

Men are considered to be far removed from pregnancy because it isn't occurring in their bodies; they are therefore often exempt from maternity courses, medical visits, as well as sometimes the birth event itself.

Preparation for birth
During the fifth month of pregnancy (which is the American fourth month because, in Japan, months are counted as having four weeks while in the USA some months are 4 and some 5) women often go with a mother or grandmother to a shrine that is dedicated to safe childbirth. Here the women pray for a safe childbirth and purchase a special pregnancy sash, or obi to wrap around the abdomen of the pregnant woman. This sash is meant to protect the uterus from the cold, keep the fetus stable and prevent it from growing too large. The ritual also aids in creating maternal identity.

Extrinsic factors
Food
Environment, or kankyo, is also a key concept in the Japanese theory of gestation. This idea surpasses the Western concept of what you feed yourself you feed your baby by encompassing ideas about certain foods being related to coldness or heat. Sweets, for example, are considered a cold food that should be avoided in pregnancy as the womb is meant to be warm. Also promoted is the idea that a pregnant woman should eat foods native to Japan. The concept moto ni modoru in this context suggests that in regard to food, one should go back to the origin when pregnant. In other words, Japanese babies are made of Japanese food which comes from Japanese soil. Traditional thoughts about proper food to eat in pregnancy relate to the idea that women are not just vessels, but active vehicles working toward creation.

Emotional behavior
Emphasis is also made in prenatal care on keeping a tranquil heart, limiting stress, and trying to elevate your spirits, becoming spiritual (even if you're usually not), and stroking the baby from time to time. This concept of mental wellbeing is called shinkyo and many doctors will be more lax on nutrition if they feel the food pressure is stressing out a woman and putting her spirit in danger.

Sexual activity
Topics not typically covered with the physician during prenatal visits for which Japanese women may turn to popular magazines include: sex during pregnancy, information regarding the birth experiences other women, unusual methods for delivery, as well as explanations of many medical terms.

Rest, activity, and movement or personal behavior
Stress and physical difficulty are considered harmful to the healthy development of pregnancy. Work is considered one of the many environmental factors women are supposed to control. The Maternal and Child Health handbook details for women acceptable "postures for physical activity in daily life." They are also instructed in this book to keep their bodies warm at all times, stabilize their bellies, and protect themselves against bumps.
https://theharunafamily.com/home/2020/09/24/were-expecting-pregnancy-in-japan
Перевести · 24.09.2020 · If you are pregnant in Japan or just interested in the process and differences, please read more below! First, in Japan pregnancy is counted as 10 months, rather than 9 months like in the U.S. This is because each week is counted as exactly 4 weeks , while in the U.S. some months of pregnancy …
When do you announce your pregnancy in Japan?
When do you announce your pregnancy in Japan?
In the US, this period is after 12 weeks, but in Japan, it is at 16 weeks. Thus, pregnancy announcements in Japan are often made at the 16th week/5th month mark, which also coincides with Inu no Hi (戌の日) A Shrine Visit for Pregnant Women
thewagamamadiaries.com/pregnant-in-japan/
How much weight can a pregnant woman gain in Japan?
How much weight can a pregnant woman gain in Japan?
In Japan, doctors monitor the weight of a pregnant woman very seriously during checkups. The general advice on weight gain during pregnancy is quite strict, with recommendations that women shouldn’t gain more than between 7 and 12 kilograms during their pregnancy.
Can foreign women get pregnant in Japan?
Can foreign women get pregnant in Japan?
In the west, there is a recognized system of managing pregnancy. This differs greatly from practices in Japan. For foreign women who may become pregnant in Japan, it may come as a bit of a shock.
Where can I get a pregnancy test in Japan?
Where can I get a pregnancy test in Japan?
If you suspect you may be pregnant, you’ll be happy to know that simple, pee-on-a-stick type home pregnancy tests (ninshin kensayaku) can typically be found at any drugstore for a few hundred yen. To confirm your pregnancy head to your local hospital or ladies’ clinic for a checkup.
savvytokyo.com/pregnancy-japan-first-steps/
Перевести · 08.10.2015 · In Japan, doctors monitor the weight of a pregnant woman very seriously during checkups. The general advice on weight gain during pregnancy is quite strict, with recommendations that women shouldn’t gain more than between 7 and 12 kilograms during their pregnancy.
https://wehavekids.com/.../12-Things-You-May-Find-Different-About-Being-Pregnant-In-Japan
Перевести · 16.02.2018 · This means that while you may consider a pregnancy to be 9 months (3 months per trimester), in Japan there are 10 months. The first 15 weeks make up the first trimester, and by 28 weeks, a pregnant woman will be in her third trimester.
РекламаКультура и жизнь в Японии. Аниме, косплей и реальные японки.
РекламаКультура и жизнь в Японии. Аниме, косплей и реальные японки.
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