This page is general information from official sources. It is not financial, legal or medical advice.
If you have a baby in Tokyo, you can get Tokyo’s Akachan First gift and the national pregnancy support payment, and your ward may add more. Akachan First is ¥130,000 in points for a baby born April 2026 to March 2027; apply by September 15, 2027. The pregnancy payment is ¥50,000 during pregnancy, then ¥50,000 for each baby after the birth. This guide puts the payments in order from pregnancy to the first birthday. The ward (区, ku) examples are Setagaya, Nerima, Edogawa, Adachi and Ota.
In short
- Akachan First: the baby’s address must be in Tokyo on the day of birth. One application on the 018 Support site covers both.
- Pregnancy support payment: you get the first notice at the pregnancy interview and the second at the newborn home visit. Both are online applications, with 2-year deadlines.
- Ward extras: Setagaya’s birth cost subsidy (¥50,000 per baby), Adachi’s birth cost subsidy (up to ¥100,000), Nerima’s third-child gift (¥100,000) and Edogawa’s infant allowance (¥13,000 a month).
- Around the first birthday, all five wards give ¥60,000 in gifts for a first child, ¥70,000 for a second and ¥80,000 for a third or later.
- The official pages do not say which languages the ward counters use; ask your ward before you go if you need English.
Checked with official pages on October 25, 2026.
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Tokyo birth support: what you get from pregnancy to age 1
You apply to your ward during pregnancy and for the first-birthday gift, to Tokyo for Akachan First and 018 Support after the birth, and to your ward for the child allowance. Tokyo’s Bureau of Social Welfare says the pregnancy package, the pregnancy support payment and the birthday gift come from the ward, and Akachan First comes from Tokyo.
| Payment | When | Amount | Apply to |
|---|---|---|---|
| Pregnancy package | Pregnancy interview | ¥10,000 in goods | Ward |
| Pregnancy support payment | Pregnancy and after birth | ¥50,000 + ¥50,000 per baby | Ward |
| Akachan First | After birth | ¥100,000 (+ ¥30,000) in points | Tokyo |
| Child allowance | After birth | ¥15,000 a month under age 3 | Ward |
| 018 Support | After birth | ¥5,000 a month | Tokyo |
| Birthday gift | Around age 1 | ¥60,000–80,000 in goods | Ward |
When you give birth, your health insurance also pays the childbirth lump-sum (出産育児一時金, shussan ikuji ichijikin), as a rule ¥500,000 per baby (Ministry of Health, Labour and Welfare). Tokyo pays up to ¥100,000 toward an epidural birth, and some wards add a birth subsidy or gift; see the five wards compared.
Akachan First in Tokyo: ¥130,000 in points, applied for with 018 Support
Akachan First (出産・子育て応援事業 赤ちゃんファースト) is Tokyo’s gift card for baby goods and childcare services. It is for people raising a child born on or after April 1, 2026 whose address is in Tokyo on the day of birth. Tokyo’s leaflet says babies born from January 1, 2026 to March 31, 2027 get “Akachan First Plus” worth ¥30,000 on top of the usual ¥100,000, so ¥130,000 in total.
After the birth, apply on the 018 Support website; the same application also applies for Akachan First. The site has an English language menu. Once Tokyo confirms you qualify, a gift card with your ID arrives by registered mail, usually 2 to 4 months after you apply. Register on the gift site with the QR code on the card to get the points. You can then order milk, diapers, strollers, home appliances, or housework and childcare services in several rounds before the deadline.
The deadlines depend on the baby’s birth year. For a baby born in fiscal 2026 (April 1, 2026 to March 31, 2027), apply by September 15, 2027 and register the card by January 31, 2028. You can order for 6 months after registering, and no later than February 28, 2028.
The card goes to the address you gave when you applied, so if you move after applying, file a change of address with Japan Post for the child too. People who have fled domestic violence, foster parents and some others cannot use the joint application and apply on a separate Tokyo form.
| Run by | Tokyo Metropolitan Government |
|---|---|
| Apply by | September 15, 2027 (babies born April 2026 to March 2027) |
| Phone | Call center 0120-001-047 (9:00–18:00, except the New Year holidays) |
| Official page | Tokyo Bureau of Social Welfare: Akachan First and 018 Support |
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Pregnancy support payment in Tokyo: paid by your ward, 2-year deadline
The national pregnancy support payment (妊婦のための支援給付) started in April 2025. The first part is ¥50,000 per pregnant person, and the second is ¥50,000 for each baby you are expecting. Your ward pays it. You get the first notice at the interview after you report the pregnancy, and the second at the home visit after the birth; then apply online with the QR code. A doctor must have confirmed the baby’s heartbeat, and you can apply after a miscarriage or stillbirth too.
Setagaya and Nerima give the deadlines: 2 years from the day a medical institution confirmed the heartbeat for the first part, and 2 years from 8 weeks before the due date for the second. When it is paid in cash, all five wards pay only into the pregnant person’s own bank account, not a partner’s or parent’s. You must be registered in the ward on the day you apply, so if you move before applying, ask your new city. A payment already received from another city for the same pregnancy is not paid again.
Nerima and Edogawa let you choose cash or Tokyo’s gift card. Setagaya, Adachi and Ota pay cash.
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Ward birth payments in Tokyo: five wards compared
The pregnancy support payment and the first-birthday gift are the same in all five wards; the difference is each ward’s own birth payment. Setagaya and Adachi help with the cost of giving birth, Nerima gives a gift for a third child, and Edogawa pays a monthly allowance while the baby is 0.
| Ward | Pregnancy payment | Ward birth payment | Birthday gift |
|---|---|---|---|
| Setagaya | Cash | Birth cost subsidy ¥50,000 per baby | QUO Card Pay |
| Nerima | Cash or gift | Third-child gift ¥100,000 | E-gift |
| Edogawa | Cash or gift | Infant allowance ¥13,000 a month | Web catalog gift |
| Adachi | Cash | Birth cost subsidy up to ¥100,000 | Children’s gift vouchers |
| Ota | Cash | — | Amazon gift card |
“—” means no ward birth payment of this kind. For babies born from April 2025, the first-birthday gift in all five wards is worth ¥60,000 for a first child, ¥70,000 for a second and ¥80,000 for a third or later. The order counts children under 18 raised in the same household, from the oldest (an 18-year-old is not counted). The ¥10,000 pregnancy package from the interview is an e-gift in Nerima, children’s gift vouchers in Adachi and a childcare gift in Ota.
Setagaya City: ¥50,000 per baby toward birth costs
Setagaya’s birth cost subsidy (出産費助成制度) pays ¥50,000 for each baby whose address is in the ward on the day of birth, including a miscarriage or stillbirth after 85 days or more of pregnancy. Apply within 1 year of the birth, by post, at a ward counter or online through Mynaportal. It is paid 1 to 2 months later and counts as occasional income for income tax.
The pregnancy support payment is explained at the Neuvola interview during pregnancy and the home visit after the birth, and is paid about 2 months after you apply. For the first-birthday gift, answer the survey in the notice sent in the birthday month and you get a Tokyo childcare QUO Card Pay by email. A family that moves out before the birthday month is not covered.
| Ward payment | Birth cost subsidy, ¥50,000 per baby |
|---|---|
| Apply by | 1 year after the birth |
| Phone | Pregnancy support payment office 03-6705-0258 (weekdays 9:00–18:00) |
| Official page | Birth cost subsidy, pregnancy support payment, birthday support (Japanese) |
Nerima City: ¥100,000 for a third or later child
Nerima’s third-child gift (第3子誕生祝金) pays ¥100,000 for each third or later baby. You must live with and raise the children, including the new baby, up to the first March 31 after each child’s 18th birthday. The parent and children must have been registered in Nerima for at least 1 year before the birth, and intend to keep living in the ward for at least 1 more year. If you moved in less than 1 year before the birth, you can apply from 1 year after moving in, for 1 year. Otherwise apply within 1 year of the birth at the Child Allowance Section on the 10th floor of the main ward office, at the Shakujii, Hikarigaoka or Oizumi welfare office, by post, or online (with a My Number Card and the xID app). It is paid at the end of the month after you apply.
Nerima calls the pregnancy support payment “Nerimama” and pays it twice, in cash or Tokyo’s gift card. For the first-birthday gift, a survey arrives by registered mail about 2 months after the birthday; for babies born from April 2025, answer by the end of the month the child turns 1 year and 4 months to get an e-gift. The pregnancy payment and gift are handled by the Health Promotion Division (03-5984-1336).
| Ward payment | Third-child gift, ¥100,000 per baby |
|---|---|
| Apply by | 1 year after the birth (if you moved in less than 1 year before the birth: 1 year from the first anniversary of moving in) |
| Phone | Child Allowance Section 03-5984-5824 |
| Official page | Third-child gift, birth and childcare support, birthday support (Japanese) |
Edogawa City: ¥13,000 a month while the baby is 0
Edogawa’s own infant allowance (乳児養育手当) pays ¥13,000 a month to families raising a baby under 1, up to 12 times, on the 10th of each month. It starts from the month of birth, or the month you report your move-in. The child and parent must live in the ward, the family must not be on public assistance (生活保護), and the baby must not be placed in an infant care facility. Apply through Mynaportal, at the Residents Division or a branch office, or by post, before the day before the first birthday.
For the pregnancy support payment, the first notice comes after the Piyomama interview and the second after the newborn visit. You apply on the ward’s “Mama Page” and choose cash or a gift card; you cannot change the choice later. For the birthday gift, a notice is mailed after the 25th of the birthday month and you get a web catalog gift after answering the survey. Since April 2026 the ward has one combined gift for ages 1 and 2, and for babies born from April 2025 you can apply until the day before the second birthday.
| Ward payment | Infant allowance, ¥13,000 a month (up to 12 times) |
|---|---|
| Apply by | The day before the first birthday |
| Phone | Pregnancy support payment call center 03-4446-4327 (weekdays 9:00–17:00) |
| Official page | Infant allowance, pregnancy support payment, birthday support (Japanese) |
Adachi City: up to ¥100,000 of what you paid for the birth
Adachi’s birth cost subsidy (出産費助成事業) pays what you paid yourself, after the childbirth lump-sum and similar payments, up to ¥100,000 per baby. The ward’s examples: a ¥580,000 birth gets ¥80,000, a ¥700,000 birth gets ¥100,000, and twins at ¥1,200,000 get ¥200,000. The mother must have lived in Adachi since before the birth and for at least 1 year in a row by the day of applying; families who move in after the birth are not covered. Apply within 1 year of the birth, by post or online. If you also use Tokyo’s epidural subsidy, wait until Tokyo decides before applying.
The pregnancy support payment is called “Adachi Birth and Childcare Support Payment”. The notices come at the Smile Mama interview and the Konnichiwa Akachan home visit, and it is paid in cash about 2 months after your application is accepted. At the Smile Mama interview you also get ¥10,000 in children’s gift vouchers per baby (Pregnancy and childcare: Health Prevention Section, 03-3880-5892). For the first-birthday gift, return the survey sent in the birthday month by the end of the month the child turns 1 year and 2 months, and the vouchers arrive by registered mail.
| Ward payment | Birth cost subsidy, up to ¥100,000 per baby |
|---|---|
| Apply by | 1 year after the birth |
| Phone | Child Medical Expense Section 03-3880-5923 |
| Official page | Birth cost subsidy, pregnancy support payment, first birthday support (Japanese) |
Ota City: book the pregnancy interview; one gift at age 1
In Ota, the pregnancy interview is held at the four local health offices, and you book it on the ward’s system from 60 days before until 12:00 the day before. You can report the pregnancy at the main ward office, but interviews are not held there. At the interview you get a ¥10,000 childcare gift and the instructions for the first pregnancy support payment, which is paid around the end of the month 2 months after you apply (for example, around the end of September for a July 15 application).
For babies born from January 1, 2025, Ota gives one first-birthday gift instead of separate gifts at ages 1 and 2. A notice arrives at the end of the month after the birthday; answer the survey by the 20th of the following month and an Amazon gift card code comes by text message.
| Ward payment | — |
|---|---|
| Birthday gift | Amazon gift card, by text message |
| Phone | Health Promotion Division 03-5744-1661 |
| Official page | Pregnancy interview, pregnancy support payment, first birthday support (Japanese) |
Pregnancy checkups in Tokyo: 14 vouchers, and checkups after birth
When you report the pregnancy in Tokyo, you get vouchers (受診票, jushinhyo) for 14 checkups that pay part of the cost at contracted clinics and hospitals in Tokyo. The number of ultrasound vouchers differs; Setagaya, Nerima, Edogawa and Ota give 4, plus 1 for cervical cancer screening. The vouchers do not work outside Tokyo, so if you go back to your home town for the birth, pay first and claim from your ward.
In Setagaya, the fiscal 2026 limits are ¥11,670 for the first checkup, ¥5,460 each for the 2nd to 14th, ¥5,300 for an ultrasound and ¥3,400 for cervical cancer screening. You pay anything above the limit and tests not on the vouchers. Claims for checkups outside Tokyo or abroad are due within 1 year of the birth.
Since checkups on October 1, 2026, public vouchers can also be used for the mother’s checkups after the birth. In Setagaya there are two, at about 2 weeks and 1 month after the birth, up to ¥5,000 each. Sources: Tokyo Bureau of Social Welfare, Setagaya pregnancy checkups and Setagaya checkups after birth (Japanese).
Epidural birth in Tokyo: up to ¥100,000 from Tokyo
Tokyo pays up to ¥100,000 toward an epidural birth (無痛分娩, mutsu bunben) for births on or after October 1, 2025. The birth must be at a hospital or clinic on Tokyo’s list. You must have reported the pregnancy and received the Maternal and Child Health Handbook in a Tokyo city or ward, and stayed registered in Tokyo until you apply. If you reported the pregnancy outside Tokyo and then moved in, you are not covered.
Apply online only, within 1 year from the day after the birth. Private room charges, meals and costs covered by health insurance are not paid. The call center is 0120-620-620 (weekdays 9:00–17:00). Source: Tokyo Bureau of Social Welfare: epidural birth subsidy (Japanese).
Child allowance in Tokyo: apply to your ward within 15 days
The national child allowance (児童手当, jido teate) is ¥15,000 a month under age 3, ¥10,000 from age 3 to high school age, and ¥30,000 for a third or later child. It is paid in February, April, June, August, October and December, two months at a time. After the birth, apply to your ward within 15 days from the day after the birth. As a rule it is paid from the month after you apply, and months you are late are not paid. If the mother is staying with family elsewhere for the birth, you still apply to the ward where you are registered. Public servants apply through their employer. Source: Children and Families Agency (Japanese).
For 018 Support (¥5,000 a month for ages 0 to 18) and the children’s medical certificate, see 018 Support and children’s medical costs in Tokyo. If you are moving in from another prefecture, see moving into Tokyo’s 23 wards for the order of the steps.
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Moving or giving birth outside Tokyo: what changes
Tokyo, the ward and the national government each set their own office and their own address rules. The official pages we checked set their conditions by your registered address, not by nationality. If you plan to move or to give birth away from Tokyo, check these points first.
- Tokyo’s payments depend on your Tokyo address. Akachan First looks at the baby’s address on the day of birth; the epidural subsidy needs a pregnancy report in Tokyo and Tokyo registration until you apply.
- Some ward payments need a period of residence: at least 1 year by the day of applying for Adachi’s birth cost subsidy, and at least 1 year before the birth for Nerima’s third-child gift. Setagaya’s birth cost subsidy only needs your address in the ward on the day of birth.
- Checkup vouchers work only at contracted clinics in Tokyo. For pregnancy checkups near family outside Tokyo, pay first, then send the receipt and itemized bill to your ward.
- If you move to another ward in Tokyo, ask both wards about the checkup vouchers. Nerima, Edogawa and Ota say that if you did not get the first-birthday gift in your old ward, you may get it in the new one.
Common questions about birth support in Tokyo
Do I apply for Akachan First separately from 018 Support?
No. A new baby’s 018 Support application also applies for Akachan First, and you can check it on your 018 Support “My Page”. People who have fled domestic violence, foster parents and some others use a separate Tokyo form.
When does the gift card arrive?
Usually 2 to 4 months after you apply. If it has not come after about 4 months, call 0120-001-047.
Can the pregnancy support payment go to my partner’s account?
No. When you take it in cash, all five wards pay only into an account in the pregnant person’s own name.
Where do I apply for the child allowance if I give birth in my home town?
To the ward where you are registered, within 15 days from the day after the birth, even if the mother is staying with family.
More guides for families in Tokyo
For night-time fevers and emergency numbers, see what to do when your child is sick at night in Tokyo.
Sources (checked October 2026)
8 pages we checked
- Tokyo Bureau of Social Welfare: Akachan First and 018 Support
- Tokyo Bureau of Social Welfare: when you are pregnant and epidural birth subsidy
- Children and Families Agency: child allowance
- Setagaya City: birth cost subsidy, pregnancy support payment, birthday support, pregnancy checkups, checkups after birth
- Nerima City: third-child gift, birth and childcare support, birthday support
- Edogawa City: infant allowance, pregnancy support payment, birthday support
- Adachi City: birth cost subsidy, pregnancy support payment, first birthday support
- Ota City: pregnancy interview, pregnancy support payment, first birthday support
