Illegal births and legal abortions – the case of China

BACKGROUND: China has a national policy regulating the number of children that a woman is allowed to have. The central concept at the individual level application is "illegal pregnancy". The purpose of this article is to describe and problematicize the concept of illegal pregnancy and its use in practice. METHODS: Original texts and previous published and unpublished reports and statistics were used. RESULTS: By 1979 the Chinese population policy was clearly a policy of controlling population growth. For a pregnancy to be legal, it has to be defined as such according to the family-level eligibility rules, and in some places it has to be within the local quota. Enforcement of the policy has been pursued via the State Family Planning (FP) Commission and the Communist Party (CP), both of which have a functioning vertical structure down to the lowest administrative units. There are various incentives and disincentives for families to follow the policy. An extensive system has been created to keep the contraceptive use and pregnancy status of all married women at reproductive age under constant surveillance. In the early 1990s FP and CP officials were made personally responsible for meeting population targets. Since 1979, abortion has been available on request, and the ratio of legal abortions to birth increased in the 1980s and declined in the 1990s. Similar to what happens in other Asian countries with low fertility rates and higher esteem for boys, both national- and local-level data show that an unnaturally greater number of boys than girls are registered as having been born. CONCLUSION: Defining a pregnancy as "illegal" and carrying out the surveillance of individual women are phenomena unique in China, but this does not apply to other features of the policy. The moral judgment concerning the policy depends on the basic question of whether reproduction should be considered as an individual or social decision

The Evolution of the One-child Policy in Shaanxi, 1979–88

A crucial element in China's modernization effort is the control of population growth. Months before the historic Third Plenum of the 11th Communist Party Congress in December 1978, the leadership decided that only a drastic limitation of fertility would ensure achievement of its economic goals for the year 2000. The policy to encourage all couples to limit themselves to one child was announced in January 1979. In September 1980 the Party Central Committee took the unusual step of publishing an “Open Letter” announcing a drastic programme of 20 to 30 years’ duration to restrict population growth, and calling on all Party and Youth League members to take the lead in having only one child. Thus was launched the world's most ambitious family-planning programme