Giving Birth in the U.S.: Process, Costs, and FAQ Guide
Why Give Birth in the U.S.?
The United States practices jus soli (right of the soil), which means any child born on U.S. soil automatically acquires U.S. citizenship. Parents who want to give their child a head start in life or seek a relatively easier path to U.S. immigration often choose "birth tourism" or surrogacy in the U.S. Recently, many have been concerned about former President Trump’s proposal to change birthright citizenship. However, since this challenges the U.S. Constitution, such a policy change is unlikely in the near future.
What Is "Birth Tourism"?
"Birth tourism" refers to a pregnant woman legally traveling to the U.S. to give birth. Under the 14th Amendment, babies born in the U.S. automatically gain citizenship. These "anchor babies" enjoy full rights as American citizens — including access to top-tier education, job opportunities, and the ability to sponsor family members for immigration. For many families, it’s not just about citizenship — it’s a long-term strategy to build international competitiveness for their child.
However, this does not grant any immigration benefits to the parents or relatives. Parents must wait until the child turns 21 to be sponsored, unless they pursue other options like EB-5 investment immigration.
Top Issues with Giving Birth in the U.S.
1、 Increased Visa Scrutiny
U.S. visa officers are highly alert to birth tourism. If a pregnant woman conceals her intent or submits false information, she may be denied a visa. It’s best to apply honestly and provide strong financial proof, a clear medical plan, and documentation of plans to return home. Ideally, apply before pregnancy or travel to the U.S. for tourism multiple times to establish credibility.
2、Risk of Denial at U.S. Entry
Even with a valid visa, travelers must pass CBP (Customs and Border Protection) inspections. Failure to clearly explain the trip’s purpose, lack of financial support, or prior overstays can result in deportation. Common CBP questions at airports like LAX include:
- “What is the purpose of your visit?”
- “How much money are you bringing?”
Prepare detailed, consistent answers and supporting documents.
3、Honest Visa and Entry Principles
Declare the dual intent of "tourism + childbirth" during the visa application and carry documents like prenatal appointments, rental agreements from maternity centers, and return travel plans. Taiwanese travelers often enter under the 90-day visa waiver program but should still carry a return ticket to demonstrate intent to return.
4、Policy Uncertainty
While birthright citizenship remains protected by law, it's important to monitor U.S. immigration policy trends. To reduce risks, it's best to act while current policies are stable.
5、Unlicensed Agencies and Misinformation
Some agencies operate illegally or falsely advertise services. Choose licensed maternity centers with medical partnerships and clear contracts. Always keep written records and payment receipts.
What are the steps involved in giving birth in the U.S.?
First, you need a U.S. visa or documents that allow you to legally enter the United States without a visa. You can apply for a visa yourself or use a professional agency to assist with the process.
Next, choosing a directly operated postpartum care center (known as a “confinement center”) in the U.S. can help solve many practical issues related to giving birth in the U.S. These centers usually require advance reservation. The U.S. offers a 90-day visa waiver program for visitors from Taiwan and Hong Kong. However, since airlines typically prohibit pregnant women from flying after 36 weeks, travelers from these regions generally enter the U.S. around their 34th week of pregnancy. Mainland Chinese travelers using B1 or B2 visas, which allow a 180-day stay, usually enter around 30 to 32 weeks of pregnancy. When entering the U.S., it's recommended to honestly state that you are coming to give birth and to bring $20,000–$30,000 in cash (and declare it honestly) to ensure a smooth entry. Once your visa is ready, you can book your flight.
When assisting you with your U.S. birth plan, Jiaduobao will first understand your budget and needs, then tailor the most suitable prenatal and delivery plan for you. During the contract process, they will explain everything clearly to ensure you fully understand and protect your rights. You’ll be welcomed with high-standard accommodations and nutritious, health-conscious meals. Additional services include private car transportation, one-on-one concierge support, professional obstetrician referrals with accompaniment to appointments, expert postpartum care, and nourishing meals from trained caregivers. Efficient handling of all necessary documents for your newborn will make your 90-day stay feel like a relaxing vacation!
Costs of Giving Birth in the U.S.
The cost of giving birth in the United States typically ranges from $40,000 to $70,000 USD for a 90-day stay. Of course, more luxurious options—such as a private 3-4 bedroom home or a standalone ocean-view presidential suite—will cost more. (Click here for a quote).
So, what do these costs generally include?
1、Visa Fees:
First, you need a valid visa to proceed with the rest of the process. Visa fees usually include a mandatory application fee and an optional agency service fee (if you choose to use an agency). You can apply on your own or go through a reputable agency.
2、Airfare:
Round-trip flight tickets to and from the U.S.
3、Hospital Fees:
In Irvine, top-rated hospitals include Hoag and St. Joseph’s. If you have insurance, costs will vary—please contact us for details. Additional charges may apply for anesthesia, and personal choices such as circumcision for boys or optional vaccines.
4、Doctor’s Fees:
After 28 weeks of pregnancy, most doctors offer bundled packages. For mothers aged 35 and over, extra prenatal screenings such as fetal heart rate and amniotic fluid tests may be required.
5、Postpartum Care Center (Confinement Center) Fees:
These range from $30,000 to over $70,000 USD. Some packages include private villas. While you can choose to arrange accommodations on your own (DIY), it often doesn’t save much—sometimes it even costs more. A quality postpartum center can help you save money, avoid stress, and enjoy dedicated care—so why not treat yourself?
6、Document Handling & Agency Fees:
This includes services for obtaining the baby’s passport, Taiwan Economic and Cultural Office (TECO) certification, Hague Apostille, translations, notarization, and vaccine translation, depending on your specific needs.
For high-net-worth families and ambitious professionals with long-term planning goals, giving birth in the U.S. isn’t about “taking a gamble”—it’s a carefully calculated, legally compliant decision focused on the child’s future international advantage.
By choosing Jiaduobao Postpartum Center, with its extensive experience in maternal care, U.S. birth support, and surrogacy, you’ll enjoy a stress-free, efficient, and professionally managed journey through this major life milestone!
Common FAQs
Q1: Is giving birth in the U.S. legal?
A: Yes, as long as you enter legally, state your purpose truthfully, and follow immigration rules.
Q2: Will the U.S. stop granting citizenship by birth?
A: The 14th Amendment still applies. While political debates exist, no legal changes have been made.
Q3: Can I say I’m coming for tourism when applying for a visa?
A: Lying can result in visa fraud, denial, or a lifetime entry ban. It’s best to declare both tourism and childbirth as your purpose.
Q4: What if CBP asks if I’m pregnant?
A: Be honest. Provide medical bookings, return plans, and financial proof to demonstrate you won’t overstay.
Q5: Is it dangerous to give birth in the U.S.? What about the language barrier?
A: Jiaduobao collaborates with professional Chinese-speaking OB-GYNs and pediatricians, and their postpartum care center is staffed with Chinese-speaking maternity nurses, ensuring smooth and barrier-free communication for expectant mothers.
In addition, the U.S. medical system is highly advanced, offering high standards for prenatal checkups and childbirth care, making risks manageable and controllable. During your hospital stay, there will be a device similar to a computer that provides real-time online interpretation services, allowing you to understand everything that is happening at any moment.
Q6: What are the benefits for the baby as a U.S. citizen?
A: Your child will have full rights to live, work, study in the U.S., and can sponsor parents for a green card after age 21.
Why Choose Jiaduobao?
- Integrated services with hospitals and maternity centers for full maternal care.
- Safe, private luxury villas with 24/7 concierge.
- Legally registered in both the U.S. and Asia, providing complete support.
- Transparent pricing, legal contracts, no hidden fees.
Let Jiaduobao Maternity Center support your journey to a safe and fulfilling childbirth experience in the U.S. Contact us via Line/WeChat: jdbmom828 or WhatsApp: +1 828-866-8886