Birth in Japan, Pregnancy in Japan

Top 10 Surprises – Pregnancy & Labour In Japan

Here are the Top 10 things that surprised me about being pregnant and giving birth in Japan!

1. The pink chair (and the curtain that covers it)

I think I am not alone on this one!

This was one of the first things that surprised me when I became pregnant in Japan – the pink chair in the doctors office for vaginal ultrasounds. Not only did the big pink chair automatically elevate and turn around at the touch of a button, but the nurse also pulled a curtain across so I couldn’t see the doctor. I don’t know about you, but I prefer to see the doctor and what he/she is doing! I immediately asked for the curtain to be drawn back so I could see what was going on. Don’t be afraid to do the same – it is all about preference I think and what you feel most comfortable with:-)

Here is the post about my experience in first trimester on Tokyo Pregnancy Group.

2. Travel Insurance

When my husband and I decided to go on a babymoon holiday overseas when I was 28 weeks pregnant, I was surprised to find that there were no Japanese insurance companies that would cover me for travel insurance. While many overseas insurance companies will provide cover up to 32 weeks of pregnancy (usually with a certificate from your doctor), based on a search of the internet and enquiries at travel agencies in Tokyo, I discovered that Japanese travel insurance companies only provide cover for up to 22 wks of pregnancy. We still went on our babymoon with regular travel insurance, but if you prefer to have extra coverage for your pregnancy try to go before you are 22 wks:-)
Here is the post about my experience and the travel insurance companies on Tokyo Pregnancy Group.
3. Superstition at Funerals
When I was 7 months pregnant, I traveled with my husband to his hometown in the countryside in Fukushima Prefecture to attend the funeral of his dear uncle. We arranged time off work to attend as it was on a weekday, and were all prepared to go when we received a phone call the day before departure. It was from one of his relatives, explaining that there was a superstition in his hometown that it is bad luck for a pregnant woman to attend a funeral, so they asked me not to come. I was quite upset, as my husband’s uncle who had passed away had always been so nice to me, and I really wanted to pay my respects to him and his family. There was much discussion among the family members – some were completely opposed to me attending, whereas others didn’t believe in the superstition and thought it was okay. I didn’t want to make anyone feel uncomfortable, so I decided to travel with my husband to his hometown but to stay at his family’s house and babysit our 2 year old niece while everyone went to the funeral. On the morning of the funeral, we received a message from my husband’s cousin (the daughter of the uncle who had passed away), saying she and her mother would really love if I could attend the ceremony and that if I was still keen, I could wear a mirror across my tummy to protect my baby from any unwanted bad luck. So, I borrowed a small compact mirror that opened up flat, placed it across my tummy in my black stockings under my black dress, and attended the funeral. I was quite noticeably pregnant, so there were a few shocked glances at me when I arrived, but I reassured everyone that I had the mirror underneath my dress protecting my baby (which could be seen quite obviously from the shape of my tummy!).
After speaking with my Japanese friends in Tokyo since the funeral, it seems this superstition was quite unique for my husband’s hometown as nobody had ever heard of it before. But just in case you do come across a similar situation in the countryside of Japan, hopefully this will prepare you!


4. Weight gain 

I think many pregnant women have been surprised by the strict guidelines on weight gain in Japan…?!

When I was pregnant, the nurses at my Japanese hospital said I should only gain 0.5 kg weight per month, and at most 10kg extra weight during pregnancy. This was a shock considering I’d already put on 10kg by the end of my 2nd trimester! I ate very healthily during my pregnancy, walked every day, and felt good. So of course I had trouble accepting this advice to reduce my food intake or limit my weight gain! Furthermore, as an Australian I was more inclined to follow the Australian guidelines, which said it was normal to gain 11-16 kg during pregnancy (1-1.5 kg per month in the first trimester, and 1.5-2 kg per month for the rest of the pregnancy).

Personally I think as long as you eat healthily and feel good, then that is the most important thing for both you and the baby!!

4. Tummy warmer


I don’t know if you have ever noticed, but it seems to be common among Japanese women to use tummy warmers while they are pregnant. Even in the hottest, most humid day of Japanese summer! My sister-in-law bought me one as a gift when I became pregnant, which was very sweet. It was like a large stretchy band of material, that you pull over your legs and up around your tummy. However, when I tried to put it on I couldn’t get it over my head or past my knees! Japanese women must be so tiny! This was lucky, as I was not looking forward to wearing it on the hot days in summer….(^^) 

5. Underpants for labour and after birth

When I first saw these underpants on my hospital’s list of things to bring for labour, I thought there is NO WAY I am going to wear these daggy undies during my labour! They are large underpants with buttons on the crotch (like a bodysuit) so it can be opened without having to take them off. In the end though I decided to buy them as the nurse explained they are very handy during labour, as you may be in too much pain to take off your underwear for cervix dilation checks, and for changing the super absorbent pads if your waters have broken.

I bought 2 pairs on Amazon Japan. In Japanese they are called 組産褥ショーツ.

7. Waist nipper

This was another surprising item on my hospital’s list of things to bring for after birth. The “waist nipper” is a belt that holds the tummy in and supports you after birth. I had never heard of these being used in Australia, so I decided not to buy one and to just let my tummy get back in shape naturally. I also thought that if I wear a waist nipper, I would become lazy and rely on it too much for support….!

Here is a selection of waist nippers on Amazon Japan. In Japanese they are called ウエストニッパー.


8. Epidurals (lack of!)
A BIG surprise for many women in Japan is the lack of hospitals which offer an epidural during labour, or any pain-relief for that matter! There are some doctors and hospitals which do offer it though, so do some research beforehand to find a hospital which will fit well with your birth plan:-)


9. Episiotomy (abundance of!)

When I was in my last trimester I asked my doctor many questions about labour and birth, and was surprised when he explained it is common for an episiotomy to be conducted in Japan especially if its your first baby. I had heard that a little natural tearing was often quicker to heal than an episiotomy, so I tried to explain to him that I wanted to try for a natural birth with no episiotomy, unless it was absolutely necessary. I never got the chance to try though, as in the end I had an emergency c-section!


10. Umbilical chord in box

Last but not least, the ‘umbilical chord in the box’! After my baby was born, the nurse handed me and my husband a little white bandaged thing. I looked at it, and then at my husband, and asked “what is this?”. The nurse said “this is a part of your baby’s umbilical chord”. My husband nodded in understanding, but I still didn’t know what I was supposed to do with it…! The nurse explained that Japanese mothers usually keep the umbilical chord as a memento of the birth, and when the baby’s belly-button stub falls off, you place it together with the umbilical chord in a box for safe keeping:-)

You might also like:
Having a baby in Japan – my hospital room
Interview about Pregnancy in Japan
What to bring to hospital for birth in Japan

To see all Tokyo Urban Baby movies and YouTube tutorials see:
Tokyo Urban Baby channel on YouTube

3 thoughts on “Top 10 Surprises – Pregnancy & Labour In Japan

  1. Thanks for sharing this article . I`m pregnant and my due is coming soon this coming Aug.29th. Im nervous it will be my first baby and I know Japan is so different with other hospital around the world . Thanks again …

  2. Kelsey says:

    Thanks for this wonderful website, all the information is very useful!!!

    1. kate says:

      Thanks Kelsey!!

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