Japanese for Pregnancy and Maternity Care: Checkups and Boshi Techō

The sentence to know first is Ninshin shite imasu (妊娠しています), I'm pregnant; say it at any clinic, pharmacy or X-ray room. Prenatal care in Japan usually happens at a sanfujinka (産婦人科) through regular checkups called ninpu kenshin, and your boshi techō (母子手帳), the maternal and child health handbook, comes to every visit.

What you need to know

Pregnancy brings a new vocabulary very quickly. Within a few weeks you are registering the pregnancy with your city, carrying a handbook to every appointment, describing symptoms that are hard to explain even in your first language, and listening to a doctor talk about weeks, weight and the baby's position during an ultrasound. This guide focuses on the checkup room: the words you hear and the sentences you need, from morning sickness and tightening of the belly to the baby's movements and questions about the birth itself. It also covers the partner's Japanese, parents' classes and the custom of going home to give birth, called satogaeri shussan. Administrative details, such as which vouchers your city provides and when, differ by municipality and change over time, so this guide hedges them and points you to ask locally. It is a language guide; for anything medical, follow your doctor or midwife.

Ninshin shite imasu is the sentence for every clinic and pharmacy

Bring the boshi techō and your city's checkup vouchers to each visit

Learn the symptom words: tsuwari, onaka no hari, taidō, shukketsu

City support differs; ask the city office what applies to you

Four sentences for the first weeks

Early pregnancy is when you most need simple, clear sentences, often at places that have nothing to do with maternity care: a dentist, a pharmacy, a company health check. Say that you are pregnant first, because it changes which medicines and tests are suitable.

Tsuwari is the everyday word for morning sickness, even though it is not limited to mornings. Onaka ga haru describes the belly tightening or feeling hard, a sensation doctors often ask about.

Four picture cards: saying you are pregnant, bad morning sickness, the belly tightening, and the due date in May.
Pregnant, morning sickness, tightening and the due date: words you will use at almost every visit.
JapaneseRomajiMeaning
妊娠しています。Ninshin shite imasu.I'm pregnant.
つわりがひどいです。Tsuwari ga hidoi desu.My morning sickness is bad.
お腹が張ります。Onaka ga harimasu.My belly feels tight.
予定日は五月です。Yoteibi wa gogatsu desu.My due date is in May.
今、十二週目です。Ima, jūnishūme desu.I'm in week twelve now.

Registering the pregnancy and the handbook

After a doctor confirms the pregnancy, you usually submit a pregnancy notification (妊娠届, ninshin todoke) at your city or ward office, or a health centre the city designates. You then receive the boshi techō and, in many cities, a set of checkup vouchers and information about local support, sometimes with an interview with a public health nurse. The exact papers, the vouchers' number and value, and any additional support all vary by municipality, so ask at the counter what you are entitled to.

JapaneseRomajiMeaning
妊娠届を出したいです。Ninshin todoke o dashitai desu.I'd like to submit a pregnancy notification.
外国語の母子手帳はありますか。Gaikokugo no boshi techō wa arimasu ka.Do you have the handbook in other languages?
受診票はいつから使えますか。Jushinhyō wa itsu kara tsukaemasu ka.From when can I use the checkup vouchers?
ほかにどんな支援がありますか。Hoka ni donna shien ga arimasu ka.What other support is available?

Remember the word shien (support). City offices use it for many programmes for families, and asking what shien exists is often the quickest way to learn about services you would not otherwise find.

At the checkup: what usually happens

A typical prenatal checkup includes a urine test, weight and blood pressure, a look at swelling, and often an ultrasound, called ekō in everyday speech. As the weeks go on, you may also have blood tests, a check of the baby's heartbeat and position, and later, monitoring of contractions. Staff often give instructions in short forms, and the doctor talks while watching the screen.

The checklist below shows what many clinics expect you to bring; your clinic may add its own items.

A checklist for a prenatal checkup at a clinic: the maternal and child health handbook, the city checkup voucher, the insurance card and a list of questions.
Handbook, voucher, insurance card and your questions: the four things to bring to every checkup.
JapaneseRomajiMeaning
尿検査をお願いします。Nyō kensa o onegai shimasu.Staff: Please do a urine test.
体重と血圧を測ってください。Taijū to ketsuatsu o hakatte kudasai.Staff: Please check your weight and blood pressure.
エコーで見てみましょう。Ekō de mite mimashō.Doctor: Let's take a look on the ultrasound.
心臓の音、聞こえますね。Shinzō no oto, kikoemasu ne.Doctor: You can hear the heartbeat.
順調ですね。Junchō desu ne.Doctor: Everything is going well.
写真をもらえますか。Shashin o moraemasu ka.Could I have a printout?

Describing symptoms and asking questions

Doctors and midwives ask about specific signs, and some of them are hard to describe in a second language. Learn the words below and prepare your questions in advance. Write them in your boshi techō or on a note; asking from a written list is normal.

JapaneseRomajiMeaning
胎動を感じます。Taidō o kanjimasu.I can feel the baby moving.
胎動が少ない気がします。Taidō ga sukunai ki ga shimasu.I feel the baby is moving less.
少し出血がありました。Sukoshi shukketsu ga arimashita.There was a little bleeding.
足がむくんでいます。Ashi ga mukunde imasu.My legs are swollen.
この薬は飲んでも大丈夫ですか。Kono kusuri wa nonde mo daijōbu desu ka.Is it safe to take this medicine?
食べてはいけない物はありますか。Tabete wa ikenai mono wa arimasu ka.Are there foods I should avoid?

Clinics usually tell you which signs mean you should call straight away, such as bleeding, strong regular pain or fewer movements. Ask for the phone number for nights and holidays and save it in your phone: Yoru ya kyūjitsu wa doko ni denwa sureba ii desu ka.

Planning the birth

Around the middle of pregnancy you decide or confirm where to give birth. Some clinics handle checkups only, and you move to a hospital later; others handle everything. Birth centres run by midwives (助産院, josan'in) are another option for low-risk pregnancies. Options such as pain relief during labour, called mutsū bunben, and partner attendance, tachiai shussan, differ a lot between hospitals, so ask early.

JapaneseRomajiMeaning
ここで出産できますか。Koko de shussan dekimasu ka.Can I give birth here?
無痛分娩はできますか。Mutsū bunben wa dekimasu ka.Do you offer pain relief during labour?
夫も立ち会えますか。Otto mo tachiaemasu ka.Can my husband be present?
TopicWordWhat to ask
Where to give birth分娩予約 (bunben yoyaku)When do I need to book the birth?
Pain relief無痛分娩 (mutsū bunben)Is it available, and is it planned or on request?
Partner present立ち会い出産 (tachiai shussan)Can my partner be there?
Going home to give birth里帰り出産 (satogaeri shussan)By which week must I transfer?
Classes両親学級 (ryōshin gakkyū)Are there classes for parents, and in which language?

Japanese for the partner

Partners often handle phone calls, paperwork and the drive to the hospital. A few lines make that easier. Use the polite form on the phone, and remember that when labour starts, the hospital usually asks you to call before coming in.

JapaneseRomajiMeaning
妻の陣痛が始まったようです。Tsuma no jintsū ga hajimatta yō desu.Partner: I think my wife's contractions have started.
間隔は十分ぐらいです。Kankaku wa juppun gurai desu.Partner: They're about ten minutes apart.
破水したかもしれません。Hasui shita kamo shiremasen.Partner: Her waters may have broken.
今から向かってもいいですか。Ima kara mukatte mo ii desu ka.Partner: May we come in now?

Common learner mistakes

  • Not mentioning the pregnancy at other clinics. Dentists, pharmacists and radiographers all need to know.
  • Mixing up ninshin (pregnancy) and ninshiki (recognition). Practise ninshin shite imasu until it is automatic.
  • Leaving the boshi techō at home. Many clinics will not record the checkup without it.
  • Assuming a friend's city gives the same vouchers. Support differs by municipality; ask your own office.
  • Waiting until late to book the birth. In some areas popular hospitals fill up early, so ask at the first visits.

Keep the new words close between visits

Ask Mocchi: Make flashcards for prenatal checkup words such as tsuwari, taidō, yoteibi and junchō. Mocchi creates the cards with /create-flashcards, and /review-flashcards brings them back at spaced intervals, focusing on the ones you miss.

For quick review on the train, play Flashcard Flip on the games page using those same cards. Matching onaka no hari or taidō in a few seconds is exactly the kind of instant recognition you need in a busy consulting room.

Key points

A practical way to improve

Make a one-page sheet for yourself in Japanese with your due date, the week of pregnancy you are in, any medicines you take and two questions for the next checkup. Read it aloud before each appointment. Practise saying weeks and dates, such as nijūshūme (the 20th week) and yoteibi wa gogatsu tōka desu, because numbers come up at every visit. Partners can practise the lines in the partner section. Mocchi can turn your list of new words into flashcards with /create-flashcards and review them with spaced repetition between checkups.

FAQ

Frequently asked questions

What is a boshi techō?

The boshi techō, officially boshi kenkō techō (母子健康手帳), is the maternal and child health handbook issued by your city when you register a pregnancy. Doctors record checkup results in it, and it later records the child's growth and vaccinations. Bring it to every prenatal appointment. Some cities provide versions or information in other languages.

How do you say I'm pregnant in Japanese?

Say Ninshin shite imasu (妊娠しています). Add the week if relevant: Ninshin nijūshūme desu (I'm in my 20th week). Say it at clinics before X-rays or medicine, at pharmacies, and at work when you are ready to tell your employer.

What is ninpu kenshin?

Ninpu kenshin (妊婦健診) are routine prenatal checkups. They become more frequent as the due date approaches. Many cities give pregnant residents vouchers called jushinhyō that reduce the cost of these checkups; the number and value vary by city, so ask at the city office when you register.

What is satogaeri shussan?

Satogaeri shussan (里帰り出産) means going back to your parents' home area to give birth, often staying there for a while after the baby arrives. It is a common choice in Japan but not universal. Hospitals usually ask you to arrange it early and may require a visit before a certain week.