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China has long sought to control women’s bodies. Increasingly, they’re making their own choices

China's Evolving Approach to Women's Reproductive Rights China has long sought to control - For decades, the Chinese government has maintained strict control

Desk World News
Published June 12, 2026
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China’s Evolving Approach to Women’s Reproductive Rights

China has long sought to control – For decades, the Chinese government has maintained strict control over women’s reproductive choices, shaping family planning policies to align with national priorities. This trend, which began shortly after the establishment of the People’s Republic of China in 1949, reached a critical juncture in the 1950s with the organization of labor for state-run work units based on women’s menstrual cycles. As the decades progressed, the one-child policy emerged as a cornerstone of population management, enforced with relentless force across vast regions of the country. Women faced significant consequences for defying the policy, including fines, mandatory abortions, and forced sterilizations. However, recent years have seen a shift in this dynamic, as women increasingly assert autonomy over their bodies amid new challenges to the nation’s demographic stability.

A Legacy of State Influence

Historically, reproductive control in China was not just a policy but a cultural imperative. The one-child policy, introduced in the late 1970s and formalized in 1980, was initially hailed as a solution to overpopulation. It targeted couples, particularly those in urban areas, to limit family size to one child. Rural regions, however, often saw stricter enforcement. The policy’s impact was felt in communities like Shen County, a small, impoverished town in Shandong province, where officials implemented extraordinary measures to ensure compliance.

One such measure was the “childless 100 days,” a period in 1991 that saw women subjected to forced abortions or sterilizations within 100 days of giving birth. The timing of this policy coincided with the zodiac year of the sheep, leading locals to refer to it as “the slaughtering of the lambs.” Women who gave birth during this window were often targeted, their bodies used as tools to meet the state’s reproductive quotas. These practices left deep scars on generations of women, shaping their perceptions of family and fertility for years to come.

Stories of Resistance

“For people of my generation, born at the end of the 1980s, everyone is from a one-child family,” says Guligo Jia, a 36-year-old filmmaker in Beijing. “Nowadays, Chinese women have more control over their bodies because they can decide to get an abortion or have babies, they have more freedom.”

Ms. Li*, a woman in her 60s from Shen County, recalls the intensity of these policies. In 1991, she was among those forcibly sterilized after giving birth during the childless 100 days. Describing the procedure as “agonising,” she remembers standing in the central plaza of her town, her top pulled up to reveal a dimpled belly that symbolized both her compliance and the pain of forced contraception. Her story is not unique; many women in Shen County endured similar experiences, often with little choice.

During the summer of 1991, Li was heavily pregnant when local officials rounded up women from her village for mandatory abortions. Loaded onto trucks, they were taken to the local hospital, where a doctor was scheduled to terminate her pregnancy at 2pm. However, she went into premature labor and gave birth to a baby boy in the hospital’s boiler room. “They tried to stop people from giving birth, but once the baby was actually born, they wouldn’t go as far as to kill him,” Li recounted. Despite her defiance, she was fined 6,500 yuan—a sum equivalent to several years of income for a farmer—and ordered to undergo sterilization. Her son survived, but around her, many infants did not.

Another woman from Shen County, now in her 70s, described her own ordeal. She was only one month away from giving birth when officials injected her with a substance to induce labor, killing the foetus. “If you refused the injection, they would tear down your house, break into your home to arrest you, and bar you from going to work,” she said. These accounts highlight the visceral pressure placed on women during the policy’s peak, as well as the emotional toll of forced reproductive decisions.

Shifting Tides and New Pressures

While the one-child policy was officially abandoned a decade ago, its legacy continues to shape contemporary attitudes toward family planning. Today, the Chinese government faces a new challenge: a declining birth rate. With fewer children being born, officials have turned their focus to encouraging more pregnancies, particularly among women in urban areas. This has led to renewed efforts to influence reproductive choices, though the methods have evolved from the coercive measures of the past.

Shandong province, known for its zealous implementation of state policies, remains a key example of this trend. Yang Jianli, a human rights activist from the region, notes that the “childless 100 days” represented some of the most extreme cases of the one-child policy. “People in Shandong, especially the officials, always take policies and orders from above more seriously than other provinces,” he observed. This regional emphasis underscores how deeply ingrained reproductive control has become in Chinese society, even as the country grapples with a changing demographic landscape.

The Guardian’s four-part series explores these shifts, analyzing how women are responding to government policies and evolving social norms. The series reveals a complex picture: while some women still feel pressure to prioritize childbearing, others are reclaiming agency in ways that were once unthinkable. For example, young women like Guligo Jia are now more empowered to make decisions about their fertility, reflecting broader changes in gender roles and access to healthcare. Yet, the lingering effects of the one-child policy persist, influencing expectations about family size and the value of motherhood.

The human cost of these policies remains evident. Li’s story, though not independently verified, aligns with other testimonies from the 1990s, where women were forced to sacrifice their pregnancies or face severe penalties. In Shen County, the trauma of those days is still palpable. “Infants from the forced inductions were all dead, there were a lot of them, they were burned and thrown in the trash,” Li said. “Those women were all crying.” These accounts paint a vivid picture of the policy’s brutality, even as officials now emphasize incentives rather than penalties to boost birth rates.

As China seeks to address its demographic challenges, the balance between state control and individual autonomy continues to shift. While the one-child policy is no longer in effect, the cultural and psychological impact of its enforcement remains. Women today are navigating a landscape where they have more freedom to choose, but the pressure to conform still lingers. This evolving narrative highlights the resilience of Chinese women, who are increasingly redefining what it means to control their own bodies in a society that has long dictated their reproductive roles.

Ultimately, the story of China’s reproductive policies is one of transformation. From the systematic control of women’s bodies in the 1950s to the traumatic enforcement of the one-child policy in the 1990s, and now to the current push for higher birth rates, the nation’s approach to family planning reflects broader societal changes. Women are no longer passive recipients of state dictates; they are challenging norms, asserting their rights, and reshaping the future of family in China.

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