Pregnancy and childbirth are basically not covered by health insurance, but local (municipal) governments pay a certain amount of money. Once you know you are pregnant, submit a pregnancy notification at your local municipal office as soon as possible so that you can access these payments.

Foreign technical intern trainees who give birth in Japan or Vietnam will temporarily be suspended. However, they can return after taking maternity leave. The visa status of the technical intern trainee who is the mother can be renewed or changed.

The first thing to do is to go to your local municipal office and tell them that you are pregnant and wish to submit a pregnancy notification. They will tell you how to submit the notification. Once you have submitted the notification, you can receive a Maternal and Child Health Handbook. You can use this handbook to receive support from the municipal office’s public health nurse until you give birth.

Make sure to have an antenatal check-up.
If you need time off to receive a antenatal check-up, apply to the company.
(Whether it is paid or unpaid depends on company regulations.)
During pregnancy, a woman may ask her employer to allow her to avoid working overtime, working on holidays, or working late at night (Article 66 of the Labor Standards Law).
You can also ask your employer to change to lighter duties that are less physically demanding (Article 65 of the Labor Standards Law).
If you have morning sickness and are asked by your doctor to reduce your work or take time off, ask your doctor to write a “Maternal Health Management Guidance Card” and inform the company (Article 13 of the Equal Employment Opportunity Law).
You can take prenatal leave and postnatal leave.
Antenatal leave can be taken six weeks before the expected delivery date if you request it.
Employers must grant antenatal leave when requested.
Postnatal leave: No work for 8 weeks after childbirth.
Employers must not let them work.
However, you can request a return to work after 6 weeks of childbirth. (Article 65 of the Labour Standards Act)
During antinatal and postnatal leave, approximately two-thirds of your salary is paid by health insurance as maternity allowance.
If you continue to receive your full falary from you company during your leave, you will not be eligible for the maternity allowance if the salary exceeds the amount of the allowance.
Money you can receive after giving birth: If you are enrolled in health insurance, you can receive 420,000 yen per child as a “childbirth and childcare lump-sum payment" after giving birth.
However, since you may need to pay the childbirth expenses upfront, please consult with the medical institution.
Anyone raising a child under the age of one, regardless of gender, can take time off to care for their child (parental leave system).
There is financial support available for those who take parental leave to care for a child under the age of one (“Parental Leave Benefit”).
Employers are prohibited from dismissing, making unfavorable transfers, or reducing wages due to reasons such as pregnancy, childbirth, maternity and paternity leave, or parental leave (Article 9, Section 3 of the Equal Employment Opportunity Law, Article 10 of the Child Care and Family Care Leave Law, etc.).
If you are in trouble, find a nearby consultation center from the website below to seek advice.
Comprehensive consultation service for foreign workers (14 languages)
Minstry of Health, Labour and Welfare

Technical intern trainees who wish to return to their own country to give birth must first ask their supervising organization to undertake the necessary procedures at the Organization for Technical Intern Training.To resume technical intern training, after having a new technical intern training plan approved by the Organization for Technical Intern Training, they can apply with the Immigration Bureau and return to Japan on a Technical Intern Trainee visa.