When you find out you are pregnant, submit a pregnancy notification to your municipality and receive the Maternal and Child Health Handbook, and be able to use it at prenatal checkups and at your child's health checkups and vaccinations.
Explanation
The Maternal and Child Health Handbook (母子健康手帳, often called 母子手帳) is a single booklet that records health information from pregnancy through early childhood. Under the Maternal and Child Health Act, anyone, regardless of nationality, can receive one from the municipality where they live.
When you find out you are pregnant, submit a pregnancy notification (妊娠の届け出) to your municipality and you will be issued the handbook. What to bring (such as something showing your My Number (マイナンバー) and an ID document) differs by municipality.
The handbook records prenatal checkups (妊婦健診), the birth, your child's growth, and infant health checkups (乳幼児健診) and vaccinations. Always bring it to checkups, vaccinations and hospital visits. Foreign-language versions in 10 languages, such as English, Chinese and Vietnamese, also exist. Ask at your municipal office whether you can receive one. They can also be downloaded from the Children and Families Agency's (こども家庭庁) Maternal and Child Health Handbook information support site.
What do you do first to receive the Maternal and Child Health Handbook?
Submit a pregnancy notification to your municipality
Buy one at the hospital where you give birth
Apply at your embassy
Report to the police after the child is born
AnswerA. Submit a pregnancy notification to your municipality
When you find out you are pregnant, submit a pregnancy notification to the municipality where you live and receive the handbook.
Q2
Can people of foreign nationality receive the handbook?
Only Japanese nationals can receive it
Yes, from the municipality where they live, regardless of nationality
Only permanent residents can receive it
It must be bought for a fee
AnswerB. Yes, from the municipality where they live, regardless of nationality
It is issued by the municipality where you live, regardless of nationality.
Q3
Which of these is NOT recorded in the handbook?
Prenatal checkup results
Vaccination records
Infant health checkup records
The child's school grades
AnswerD. The child's school grades
The handbook is a health record from pregnancy through early childhood. School grades are not written in it.
Q4
What should you bring when you take your child for a vaccination?
Nothing
The Maternal and Child Health Handbook
A copy of your resident record (住民票)
Only a passport
AnswerB. The Maternal and Child Health Handbook
Vaccination records are written in the handbook, so always bring it.
Q5
What if you cannot read Japanese?
You cannot receive the handbook
Pay a translation fee
Foreign-language versions exist, so ask at the counter
Translate everything yourself
AnswerC. Foreign-language versions exist, so ask at the counter
Foreign-language versions exist in 10 languages, such as English, Chinese and Vietnamese. Ask at your municipal counter whether you can receive one; they can also be downloaded from the Children and Families Agency's site.
Frequently asked questions
Q. What do I need for the pregnancy notification?
A. It differs by municipality, but you are often asked for something showing your My Number (such as a My Number Card (マイナンバーカード)) and an ID document (such as a residence card (在留カード) or passport). If a family member or someone else submits it for you, a letter of proxy (委任状) may be required. Check your municipality's website or counter before you go.
Q. What if I lose the handbook?
A. You can ask about reissue at your municipal counter. The checkup and vaccination records written so far will not be in the new handbook. The municipality keeps records of routine vaccinations given by the municipality for a certain period and may be able to provide them, so contact your municipality's vaccination counter. Taking photos of the pages with your smartphone ahead of time gives peace of mind.
Q. What should I do with vaccination records from abroad?
A. Keep your foreign vaccination records (certificates, etc.) and show them, together with the handbook, to your municipality's vaccination counter or a doctor for advice. A doctor will look at the records and decide how to treat the vaccinations already received.
Practice: answer the questions on this page
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Systems and procedures may differ depending on the city, ward, town or village where you live and on the time of year. Please check the latest information from your local government or the relevant organizations. Content checked on: 2026-09-28
This page is a translation of the Japanese original. If the translation and the original differ, the Japanese version takes precedence. View the Japanese original