Postnatal Care in Tokyo: ¥5,000 to ¥9,000 for 2 Days and 1 Night, Charges in 5 Wards and Housework Helpers

This page is general information from the official guidance of each ward and does not decide whether you qualify. For your own case, ask your ward office.

Postnatal care in Tokyo’s 23 wards (staying at a facility with midwives, attending for the day, or having someone come to your home) costs ¥5,000 to ¥9,000 for 2 days and 1 night for households that pay resident tax. Households exempt from resident tax pay nothing in 4 wards (Setagaya, Nerima, Edogawa and Adachi), while the Ota Ward page announces a waiver of the charge only for households on public assistance. In return, Ota needs no advance application, and you can book right away with the vouchers you receive at the pregnancy interview. This page compares the charges, number of days, when to apply and housework helper fees in 5 wards: Setagaya, Nerima, Edogawa, Adachi and Ota.

In short

Cheapest overnight stay: Adachi and Ota (¥2,500 a day, ¥5,000 for 2 days and 1 night).
Most days: Nerima (up to 7 days overnight, 12 days of day care and 6 home visits).
To finish the paperwork before the birth: in Setagaya, Edogawa and Adachi you can apply or register from week 28 of pregnancy (month 8).
To also get help with housework: Edogawa’s “Edogawa Mama-Papa Support Team” is ¥500 an hour for 96 hours a year, and up to 14 hours are free while the child is under 1.

Checked with official pages on October 26, 2026 (Japan time). Prices and hours may change.

1. Comparing charges and days for postnatal care in 5 Tokyo wards

For households that pay resident tax, the charge for an overnight stay of 2 days and 1 night runs from ¥5,000 in Adachi and Ota to ¥9,000 in Setagaya, day care costs ¥1,250 to ¥3,000 a day, and a home visit costs ¥500 to ¥2,000 per visit. Tap a ward name to jump to its section.

Ward	Overnight stay (2 days, 1 night)	Day care (per day)	Home visit (per visit)	Days or visits available
Setagaya	¥9,000	¥3,000	¥2,000	7 days overnight; 7 days for day care and visits
Nerima	¥7,000	¥1,500	¥500	7 days overnight, 12 days day care, 6 visits
Edogawa	¥7,000	¥3,000	¥2,000	5 days overnight, 2 days day care, 3 visits
Adachi	¥5,000	¥1,250	¥1,000	7 days in total across overnight, day care and visits
Ota	¥5,000	¥1,500	¥500	6 days overnight, 1 day care, 3 visits

Sources: the postnatal care pages of each ward (checked on October 26, 2026). The amounts are for households that pay resident tax. Setagaya gives taxpaying households 5 days of discount coupons, and using them brings an overnight stay to ¥2,000 a day, day care to ¥500 and a home visit to ¥0. For an overnight stay in Ota, only Aiiku Postnatal Care Child-Rearing Station (Minato Ward) costs ¥7,500 a day. Separately from the table, Adachi also has a day-service type run by a non-profit (¥500 per visit).

The period you can use it is roughly under 4 to 5 months after birth for an overnight stay and under 1 year after birth for a home visit, and for day care it varies by ward from under 4 months to under 1 year after birth. For overnight stays, each facility may accept only younger babies, so check with the facility when you book.

2. Things to know when choosing postnatal care in Tokyo

Where you start differs by ward. In Setagaya, Edogawa and Adachi you apply (register) with the ward from week 28 of pregnancy, in Nerima you receive an electronic coupon at the pregnancy interview, and in Ota you receive a booklet of vouchers at the pregnancy interview. Here is what to know first when using postnatal care in Tokyo.

Facilities are also outside the ward: Edogawa has contracts with facilities in Koto, Katsushika and Sumida and in Ichikawa City, Chiba; Adachi with facilities in Arakawa, Katsushika, Kita and Bunkyo; and Ota with facilities in Yokohama and Kawasaki and in Shinagawa and Minato. In Nerima you can also use facilities in Shinjuku and Nakano. You pay your own travel costs to the facility.
Setagaya uses a lottery: you apply through the ward’s official LINE account from 2 weeks before the day of use until 9:00 the morning before, and the ward holds a lottery each business day. Saying the ward’s situation of “continuing difficulty in getting reservations”, it advises ways to apply such as saying you accept fewer days and putting first and second choices for consecutive dates.
Some wards have you book directly with the facility: in Nerima, Edogawa, Adachi and Ota, after the ward procedure (none in Ota), you contact the facility or midwife you want to use and book directly.
Free use for tax-exempt households needs an application: Nerima requires an electronic application to switch from week 30 of pregnancy, and Adachi requires a tax exemption certificate or similar with the application for use. Ota announces a waiver only for households on public assistance.
Housework helpers are a separate program: apart from postnatal care, Nerima, Edogawa, Adachi and Ota have programs that send someone to your home to help with housework and child care (see “Housework and child-care helpers” below).

3. Setagaya Ward: up to 6 nights and 7 days overnight, apply by LINE and a lottery

Setagaya’s postnatal care costs ¥9,000 for 2 days and 1 night overnight (¥4,500 a day after that) for taxpaying households, ¥3,000 a day for day care and ¥2,000 per visit for home visits. The charge is ¥0 for households exempt from resident tax, households taxed only on the per-capita levy, and households on public assistance. Taxpaying households can be issued 5 coupons (a ¥2,500 discount each in principle) at the facility on the first day of use, and can use 1 a day. Setagaya Ward, postnatal care coupon page (Japanese)

Services available at the Setagaya Ward Postnatal Care Center (official channel of Setagaya Ward)

It is for mothers and babies who live in the ward, have worries about their health or child care, and cannot get enough support from family or others (those who live with family are also covered if there are circumstances). Overnight stays and day care are available up to 4 months after birth, and home visits up to 1 year. Overnight stays are up to 7 days (6 nights and 7 days, which can be split), and day care and visits together are up to 7 days.

The procedure is through the ward’s official LINE account: you register around week 28 of pregnancy and apply for use after the birth. Applications for overnight stays and day care open 2 weeks before the day of use, and for home visits 1 week before, all until 9:00 the morning before (excluding days the office is closed), and the lottery result arrives on LINE in the afternoon of the day. Setagaya Ward, postnatal care page (Japanese)

You can stay overnight at 4 places: the ward’s Postnatal Care Center (Sakura-shimmachi), Shiseikai Daini Hospital (Kami-Soshigaya), Kugayama Hospital (Kita-Karasuyama) and Seijo Maternity Clinic (Seijo). Day care is at the Postnatal Care Center and Mama’s Room (Shimouma, next to Inami Pediatrics). At the Postnatal Care Center, one older brother or sister who has not yet entered elementary school can stay too. The “Setagaya Child-Rearing Vouchers” (¥10,000 worth) handed out by the ward at the Neuvola interview can also be used for payment, except at Seijo Maternity Clinic. Setagaya Child-Rearing Vouchers page (Japanese)

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4. Nerima Ward: 12 days of day care and up to 6 home visits, booked directly with the facility

Nerima’s postnatal care costs ¥7,000 for 2 days and 1 night overnight (¥3,500 a day after that), ¥1,500 a day for day care and ¥500 per visit for home visits, and it is free for households exempt from resident tax and households on public assistance. It is for mothers and babies who are residents of the ward within 1 year after giving birth, and overnight stays are roughly until the baby is 4 months old. The number of days is up to 7 days overnight, 12 days of day care and 6 home visits (about 90 minutes each), and 18 days of day care and 10 visits for households with multiple births. In the ward’s materials, of the ¥66,000 cost of 2 days and 1 night, the ward pays ¥59,000.

People who had a pregnancy interview on or after April 1, 2026 register an electronic coupon through the ward’s official LINE account (people interviewed up to March 31 have a paper user card). After the birth, you contact the facility you want to use directly, give your user number and decide the day. You cannot book before the birth. People who moved in after the birth apply electronically (up to 14 days before the day of use). Free use for households exempt from resident tax and households on public assistance requires a switching application from week 30 of pregnancy. Nerima Ward, postnatal care page (Japanese)

For overnight stays you can choose facilities in the ward such as Sakuradai Maternity Clinic, Juntendo University Nerima Hospital, Nerima Hikarigaoka Hospital, Tsumugi Midwifery Center and Pao Midwifery Center, and also hospitals and midwifery centers in Shinjuku and Nakano. The overnight stay at Nerima General Hospital can be used only by people who gave birth at that hospital and use it right after their hospital stay. Cancel by contacting the facility by 10:00 a.m. the day before.

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5. Edogawa Ward: 5 days overnight and 2 day-care visits, get an approval number before booking

Edogawa’s postnatal care costs ¥7,000 for 2 days and 1 night overnight (¥3,500 for each extra day), ¥3,000 per visit for day-service care and ¥2,000 per visit for home visits, and it is free for multiple births and for households exempt from resident tax and households on public assistance. Overnight stays and day-service care are for mothers and babies under 4 months after birth, and home visits for those under 1 year after birth, and people within 1 year after a miscarriage or stillbirth can also use it.

For overnight stays and day-service care, you apply to the ward electronically or by post from week 28 of pregnancy, then book a facility by giving the “approval number” you receive (you cannot book before applying). Overnight stays are up to 5 days per birth (can be split), day-service care up to 2 times, from 10:00 to 15:00. The facilities are Matsushima Hospital, Tokyo Rinkai Hospital and Iwakura Hospital in the ward, plus the Pre- and Postnatal Care Center Tohomine Sarai in Koto, Ayase Postnatal Care in Katsushika, Tokyo Metropolitan Bokutoh Hospital in Sumida and Enpitsu Park Mothers Clinic in Ichikawa; Famille Maternity Hospital Edogawa has paused accepting people since September 2026. Edogawa Ward, postnatal care (overnight type) page and day-service type page (Japanese)

For the home-visit type, you apply through the form or by phone of the organization the ward contracts, and a midwife visits for about 1 hour at a time on weekdays between 9:00 and 17:00, up to 3 times per birth. Edogawa Ward, postnatal care (home-visit type) page (Japanese)

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6. Adachi Ward: overnight ¥2,500 a day, with the charge lowered in April 2026

Adachi’s postnatal care at medical institutions and similar costs ¥2,500 a day for an overnight stay (from 2 days and 1 night), ¥1,250 a day for day care and ¥1,000 per visit for home visits, and you can use up to 7 days (visits) across overnight stays, day care and home visits combined. The charges were lowered from April 1, 2026, and the new amounts also apply to people whose use approval notice was issued before that date. Households exempt from resident tax and households on public assistance are waived if they submit a certificate with the application.

Overnight stays and day care are for mothers and babies under 4 months after birth, and home visits for those under 1 year after birth. You apply online or at the ward office from week 28 of pregnancy until 2 weeks before the date you want to use it, then book directly with the facility or midwife with the use approval notice you receive. Overnight stays are at Tokyo Women’s Medical University Adachi Medical Center, Nagato Clinic, Yokokawa Ladies Clinic and Machiki Clinic in the ward, and also at Tokyo Riverside Hospital in Arakawa and Ayase Postnatal Care in Katsushika, among others, and you can use them wherever you gave birth. Adachi Ward, postnatal care page (Japanese)

There is also a day-service type run by a non-profit, ¥500 a visit (lunch separate), in which a nursery teacher looks after the baby in another room while the mother rests. It is at Maternity & Baby House Ohana in Umejima and Sukoyaka Plaza Adachi in Kohoku, divided by day of the week into babies under 5 months and 5 months to 1 year after birth. You apply on the facility’s website from the 1st to the 15th of the month before the month you want to use it, with a lottery if there are many applicants.

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7. Ota Ward: no advance application, book with the vouchers received at the pregnancy interview

In Ota, you use postnatal care with the booklet of vouchers you receive at the pregnancy interview, and no advance application to the ward is needed. The charges are ¥500 per visit for home-visit and outpatient types (up to 3 times, within 1 year after birth), ¥1,500 per visit for day care (once, within 5 months after birth) and ¥2,500 a day for overnight stays (up to 6 days, within 5 months after birth). The group-care type held by the Midwives Association (up to 3 times) is not subject to a user charge. The waiver of the charge applies to households on public assistance, who show their public assistance recipient certificate to the provider.

An overnight stay of 2 days and 1 night is ¥5,000, up to 5 nights and 6 days (can be split). Only Aiiku Postnatal Care Child-Rearing Station (Minato Ward) costs ¥7,500 a day. Otorii Clinic, Seo Clinic, Toho University Omori Medical Center and Makita General Hospital can be used right after a hospital stay only by people who gave birth at that facility. You can use Maemura Clinic, Omori Red Cross Hospital, Tokyo Metropolitan Ebara Hospital, Tokyo Shinagawa Hospital Birth Center and NTT Medical Center Tokyo in Shinagawa, and midwifery centers in Yokohama and Kawasaki, wherever you gave birth. Overnight stays can be booked from week 28 of pregnancy. Ota Ward, postnatal care page (Japanese)

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8. Housework and child-care helpers: ¥500 to ¥1,000 an hour

Separately from postnatal care, the ward programs that send someone to your home to help with housework and child care can be used for ¥500 to ¥1,000 an hour. All of them require registration or an application with the ward first.

Ward program	Fee per hour	Limit	When you can use it
Nerima, child-rearing support helper	¥1,000	96 hours	From pregnancy to the end of the month the child turns 2
Edogawa, Mama-Papa Support Team	¥500	96 hours a year	From pregnancy until the child is under 3
Adachi, prenatal and postpartum housework support	¥500 (first hour, weekdays 8:00 to 18:00)	1 hour 30 minutes per visit, twice a week	From 6 weeks before the due date to 3 months after birth
Ota, Piyo-Piyo Support	¥500	30 hours a year	Until the day before the child’s third birthday
Ota, Niko-Niko Support	¥1,000	30 hours	From pregnancy to 1 year after birth

Sources: the pages of each ward (checked on October 26, 2026). Nerima’s child-rearing support helper and Ota’s two programs are free (waived) for households exempt from resident tax and households on public assistance.

Nerima’s child-rearing support helper can be requested for meal preparation, laundry, cleaning, shopping, help with bathing and accompanying you to checkups, Monday to Saturday from 9:00 to 18:00. Households that gave birth to a low-birth-weight baby and similar can use 104 hours at ¥500 an hour, and households with multiple births up to 120 hours at ¥300 an hour. After you apply to the ward and are approved, you apply directly to a provider on the list. Nerima Ward, child-rearing support helper page (Japanese)

With Edogawa’s “Edogawa Mama-Papa Support Team”, you can request meal preparation and tidying up, cleaning, help with child care and accompanying you to checkups and shopping, from 2 hours a day. Households with a child aged 0 (including during pregnancy) get up to 14 hours per person free, and households with twins aged 0 can use up to 240 hours a year in total. You apply directly on the contracted organization’s website, and a request 1 week to 10 days ahead is a guide. Edogawa Ward, Edogawa Mama-Papa Support Team page (Japanese)

Adachi’s “prenatal and postpartum housework support program” helps with meal preparation and tidying up, laundry, cleaning and shopping, and the first hour is ¥800 on weekdays after 18:00 and on weekends and holidays. You contact the contracted provider, receive an explanation at home, and submit the application form by 7 days before you start. Adachi Ward, prenatal and postpartum housework support page (Japanese)

Ota has two. “Piyo-Piyo Support” helps with housework and child care for households with a child up to age 2 (2 hours or more per visit, Monday to Saturday from 9:00 to 21:00), and in “Niko-Niko Support” a support worker with a postpartum doula qualification comes and, besides housework, also helps with breastfeeding and looking after siblings and answers child-care questions. In both, households using it for the first time get 2 hours free. Ota Ward, Piyo-Piyo Support page and Niko-Niko Support (postpartum doula) page (Japanese)

Setagaya has no helper program of the same kind, but you can use the Setagaya Child-Rearing Vouchers to pay for housework help or babysitters registered with the ward.

Frequently asked questions

Q. Can I book postnatal care in Tokyo’s 23 wards before the birth?

A. It depends on the ward. In Ota you can book an overnight stay with the facility from week 28 of pregnancy, and in Setagaya, Edogawa and Adachi you can register or apply with the ward from week 28 (booking and applying for use come after the birth). In Nerima you cannot book before the birth.

Q. Can I use a Tokyo ward’s postnatal care while I am outside the ward giving birth in my hometown?

A. No. You can use it only if you are registered as a resident of the ward on the day of use, and only at facilities the ward has contracted. Ota and Nerima say that using it after moving out of the ward means paying the full cost yourself.

Q. Can I bring an older child to postnatal care?

A. It depends on the facility. Setagaya’s Postnatal Care Center lets one older brother or sister who has not yet entered elementary school come too. Nerima’s overnight stays and day care cannot in principle be used together with an older child. If you want to leave an older child in care, Adachi says its temporary childcare for pre-school children can also be used on postnatal care days.

Sources

15 pages we checked

Checked with official pages on October 26, 2026 (Japan time).

1. Comparing charges and days for postnatal care in 5 Tokyo wards

2. Things to know when choosing postnatal care in Tokyo

3. Setagaya Ward: up to 6 nights and 7 days overnight, apply by LINE and a lottery

4. Nerima Ward: 12 days of day care and up to 6 home visits, booked directly with the facility

5. Edogawa Ward: 5 days overnight and 2 day-care visits, get an approval number before booking

6. Adachi Ward: overnight ¥2,500 a day, with the charge lowered in April 2026

7. Ota Ward: no advance application, book with the vouchers received at the pregnancy interview

8. Housework and child-care helpers: ¥500 to ¥1,000 an hour

Frequently asked questions

Sources

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