Having babies in Germany is a beautiful experience, but it can also come with many questions and concerns—especially if you’re an expat navigating the process in a foreign country. From understanding the healthcare system to legal requirements and cultural differences, there’s a lot to consider. Luckily, with the right resources (and myself having gone through the entire process, twice), we are going to make sure you feel prepared and confident throughout your pregnancy journey here in Germany. 🥰

In this guide, we’ll address some of the top questions expats have when expecting a baby in Germany (but if you’re living in Düsseldorf, we’ve got a specific post dedicated just for that too). We’ll also introduce you to Elodie, the founder of Baby in Berlin and one of our experts here at Life in Germany, who helped us bring together the best tips and answers for your pregnancy journey. She also offers courses and consultation calls to help you with everything from pre-pregnancy planning to applying for Kindergeld and Elterngeld.

So let’s get into some of the top questions you’ve asked about having babies in Germany 🇩🇪

1. What is the process like for prenatal care in Germany?

Prenatal care in Germany is comprehensive, but it can feel overwhelming if you’re not familiar with the system.

You’ll need to choose a gynecologist (Frauenarzt) or a midwife (Hebamme) for regular check-ups. In Germany, prenatal care typically includes monthly visits that increase in frequency as your due date approaches. Your healthcare provider will schedule routine ultrasounds, blood tests, and other screenings covered by health insurance. Here, you’ll also get a Mutterpass, which is essentially the pregnancy passport that you’ll carry with you at all times.

Need guidance on navigating the prenatal process? Elodie offers pre-pregnancy consultations to help you understand the German healthcare system, choose the right provider, and prepare for the journey ahead.

2. How does health insurance work for pregnancy and childbirth?

Germany’s healthcare system is renowned for its quality, but expats often wonder about insurance coverage. Whether you have public (gesetzliche Krankenversicherung) or private (private Krankenversicherung) health insurance, most pregnancy and childbirth-related costs are covered. This includes prenatal visits, hospital stays, and even some postpartum care. However, if you have specific questions, check with your insurer about coverage and any potential out-of-pocket expenses (I had to pay for some of my prenatal vitamins out of pocket).

Not sure what your insurance covers? Baby in Berlin offers consultation services to help you understand your insurance plan and make the most of the benefits available to you.

3. What are the best hospitals or birth centers in Germany for childbirth?

Choosing where to give birth is a personal decision. In Germany, you can choose between hospitals, birth centers, or even a home birth. Each option has its benefits, depending on your preferences for pain management, support during labor, and postnatal care. Many expats opt for hospitals due to the high standard of medical care and availability of resources.

If you’re unsure about which option suits you best, consider booking a consultation with Elodie at Baby in Berlin. With her experience, she can provide personalized recommendations based on your needs and preferences. If you use the code LIG20 you can get 20 Euros off your consultation call.

Living in Düsseldorf? I shared a lot more information about our birthing centre options over on our Life in Düsseldorf blog too!

4. What are the maternity and paternity leave policies in Germany?

Germany offers generous parental leave policies. Mothers are entitled to Mutterschutz (maternity protection), which typically includes six weeks of leave before the birth and eight weeks afterward. Fathers and mothers can also take advantage of Elterngeld (parental allowance), which provides financial support during parental leave.

Need some help? You can also find specific courses on how to apply for Elterngeld and Mutterschaftsgeld, ensuring you maximize the benefits available to you.

5. How do I register the birth of my child in Germany?

Registering your child’s birth is a crucial step. This process typically involves visiting or mailing documents to your Standesamt (civil registry office) with documents like your passports, birth certificates, and proof of residence. You must register the birth within a week at the local Standesamt, often facilitated by the hospital if you give birth there. Make sure to ask the hospital!

We have a birth prep checklist on our Life in Düsseldorf blog that may also help you out as well! 

For detailed guidance on registering your child’s birth and navigating German bureaucracy, consider a consultation with Elodie. Elodie’s expertise will ensure you have all the correct documents and understand the process thoroughly.

6. What are the vaccination requirements for newborns in Germany?

Germany has a recommended vaccination schedule for newborns, which is not mandatory but highly advised. Vaccinations start from around six weeks and protect against diseases like polio, measles, and whooping cough. Your pediatrician will guide you through the vaccination schedule and set up appointments as needed. You will also attend frequent check-ups for your baby during their first 6 years of life. You can follow along with these checkups in your Kinderuntersuchungsheft which you will receive at the hospital post-birth.

7. Can I choose a home birth, and what are the requirements?

Home births are an option in Germany, but they require thorough preparation and coordination with a qualified midwife. If you are considering a home birth, you should discuss this with your midwife early in your pregnancy to ensure you have the necessary support and resources. Elodie can also provide insights into choosing a home birth, helping you weigh the pros and cons, and find a supportive midwife.

8. What support services are available for postpartum care?

Postpartum care in Germany often involves visits from a midwife (Hebamme), who will check on you and your baby during the first few weeks after birth. Health insurance usually covers this service and provides essential support, especially for first-time parents. In most cases, your health insurance provider may also cover post-birth recovery classes!

In addition to having a midwife looking after your medical needs, public health insurances will pay towards a Mütterpflegerin (mother’s carer) who can cook for you, take care of the newborn, run errands and much more. Elodie can also guide you through the procedure and help you find a Mütterpflegerin.

9. How do childcare and kindergarten enrollment work in Germany?

Finding childcare in Germany can be competitive, and it’s advisable to start looking early (like as soon as your child is born). Kindergartens (Kitas) range from public to private, and each has its own enrollment procedures and costs. This YouTube video might help give you some good insight into the German daycare system. ⬇️

10. What cultural differences should I expect when having a baby in Germany?

There are several cultural differences to be aware of, such as the emphasis on natural childbirth, the widespread use of midwives, and specific parenting styles. These differences might feel surprising, but understanding them can help you adjust more smoothly. Here are the things I wish I had of known before giving birth in Germany. ⬇️

11. How do I apply for child benefits (Kindergeld) in Germany?

Expats residing in Germany with a residence permit are typically eligible for Kindergeld (child benefits). The application process requires several documents and can feel daunting, but financial support can significantly ease the cost of raising a child. Here’s everything you need to know. ⬇️

Elodie from Baby in Berlin offers dedicated sessions on applying for Kindergeld, ensuring you complete the application accurately and efficiently. Use the code LIG20 for 20 Euros off your session,