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Japan’s Baby Boom: Soaring Childbirth Costs


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The Ministry of Health, Labor, and Welfare in Japan recently released findings from a comprehensive survey, shedding light on the escalating expenses associated with childbirth in the country.

The survey conducted in fiscal year 2022 revealed that the average cost of giving birth, in cases of normal deliveries, reached ¥482,294. This marked an increase of ¥8,979 compared to the previous year, and a staggering ¥65,000 surge over the past decade. In this article, we will delve into the survey’s key findings and explore the factors driving the rising costs of childbirth in Japan.


Understanding the Survey


The Ministry’s survey was conducted from July to August 2023 and targeted approximately 2,300 medical institutions and midwifery centers involved in childbirth. Impressively, the survey achieved a response rate of 80%, with 1,742 facilities participating. These insights provide a comprehensive view of the situation surrounding childbirth costs in Japan.


Variability in Childbirth Costs


In Japan, normal childbirth does not fall under the purview of public medical insurance, and this lack of regulation allows medical institutions to establish their own pricing. The survey revealed notable variations in childbirth costs depending on the type of facility. On average, the cost for delivery was ¥463,450 at public hospitals and ¥506,264 at private hospitals. These figures exclude additional expenses such as private bed charges and special celebratory meals. Meanwhile, clinics and midwifery centers reported an average price of ¥478,509. The overall national average for childbirth costs was pegged at ¥482,294.


Government Response


In an attempt to alleviate the financial burden on expectant parents, the government took steps to increase the lump-sum childbirth benefit in April 2023. The benefit was raised from ¥420,000 to ¥500,000, a move welcomed by many. However, these benefits may only partly offset the mounting childbirth costs.


Factors Behind Rising Childbirth Fees


The survey found that childbirth fees were raised at 44.5% of all facilities between April 2022 and April 2023. Additionally, 26.3% of the surveyed facilities indicated plans to increase fees in the future, while 27.6% were under consideration for fee hikes. The most frequently cited reason for these increases, by over 80% of the facilities, was the soaring costs of utilities and consumables. Moreover, factors such as the rising prices of medical equipment and increasing wages for medical staff due to labor shortages were also contributing to the upward trend in fees.


Regional Disparities


The survey revealed significant disparities in childbirth costs among different prefectures in Japan. Tokyo, being one of the most expensive cities in the country, recorded the highest childbirth cost at ¥605,261, while Kumamoto Prefecture had the lowest cost at ¥361,184. This resulted in a substantial difference of more than ¥240,000. For childbirth at public hospitals, Tokyo was once again the costliest at ¥562,390, with Tottori Prefecture offering the most affordable option at ¥359,287.


Breaking Down the Costs


In cases of normal deliveries, the national average cost, including additional expenses like a private bed and non-medical items such as celebratory meals, amounted to ¥545,797. A detailed breakdown of these costs revealed that approximately 50% of the total, equivalent to ¥282,424, represented the cost of the delivery itself. This included fees for the attending doctor or midwife and nursing care during the delivery. The cost of staying at the hospital, covering expenses like the bed and meals, accounted for ¥118,326, while an additional ¥50,052 was attributed to the average cost of tests, medication, and other medical care for newborns.




The findings of the Ministry of Health, Labor, and Welfare’s survey on childbirth costs in Japan highlight the escalating financial burden on expectant parents. The rising trend in childbirth fees is driven by a range of factors, including increasing operational costs for medical institutions, utility expenses, and the challenge of attracting and retaining medical staff due to labor shortages. The government’s efforts to alleviate some of this burden through increased benefits are commendable, but addressing the root causes of rising costs remains a critical challenge. As childbirth expenses continue to climb, a comprehensive reevaluation of the healthcare system and its cost structure may be necessary to ensure that the joy of welcoming a new life is not overshadowed by financial concerns.

M Moiz
M Moiz
M Moiz, is Research Student at Islamabad research Institute and work with THE THINK TANK JOURNAL

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