Navigating cultural diversity in Japanese maternity care: an overview of the experiences of non-Japanese women and a path to improvement

Abstract

Japan’s dropping birthrate is a frequent topic in both media and political discourse and yet, an increasing number of non-Japanese women are giving birth in the country. While praised for several of its women-centered features, Japanese maternity care also faces criticism for its perceived inflexibility and lack of cultural sensitivity. This article presents a comprehensive overview of Japanese and English language studies on non-Japanese women’s access to maternity care in Japan. It highlights the challenges many women encounter, such as linguistic and cultural barriers, as well as institutional and physician inflexibility. The article also acknowledges noteworthy aspects, including excellent midwifery and support for new mothers. Ultimately, this paper argues that research utilizing in-depth narratives from foreign women is necessary to develop a more culturally sensitive approach to maternity care. It also underscores the need for medical professionals to collaborate with grassroots organizations to understand the dynamic needs of non-Japanese women and sufficiently support them through pregnancy, birth, and post-natal care.