Why Chinese Parents Don’t Want Two Kids

China’s low birth rate stems from high costs and social pressures on parenting.

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Oct 7, 2026

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Why Chinese Parents Don’t Want Two Kids

China’s low birth rate stems from high costs and social pressures on parenting.

In brief

China’s low birth rate stems from high costs and social pressures on parenting. Chinese parents avoid having two children due to career risks, medical costs, and postpartum care burdens. Originally reported by Foreign Policy.

China’s Birth Rate Decline

China’s birth rate dropped sharply since 2017 despite government efforts to encourage larger families.

One-Child Policy Legacy

Even during the one-child policy era from 1979 to 2015, Chinese couples averaged nearly two children.

Two-Child Policy Fails

Two-Child Policy Fails

Loosening the policy to two children in 2015 and three in 2021 produced no increase in births.

Childcare Costs

China is the second-most expensive country to raise a child, with education costs soaring after age 12.

Maternity Leave Gaps

Many Chinese women cannot take full maternity leave due to weak enforcement and informal employment.

Career Risks for Women

A young girl of about 5 years old is seen in profile as she stands with her parents in a crowd of people waiting to pass through security to enter Tiananmen Squ

Urban women face career replacement risks after childbirth due to gender discrimination in hiring practices.

Medical Bribery

Parents pay bribes at every stage of childbirth in Chinese public hospitals due to medical system graft.

High C-Section Rates

China’s cesarean section rate reached 44.5 percent in 2020, far above the WHO’s recommended 10 to 15 percent.

Postpartum Confinement

Many Chinese families follow 'sitting the month,' a 30-to-40-day postpartum confinement for mothers.

Grandparent Stress

Young couples living far from hometowns face stress from grandparents sleeping on sofas in one-bedroom apartments.

Surrogacy Challenges

Chinese parents seek surrogacy through gray markets due to hukou restrictions for babies born via surrogate.

Why Only One Child

Chinese parents avoid having two children due to career risks, medical costs, and postpartum care burdens.

The key point

Chinese parents avoid having two children due to career risks, medical costs, and postpartum care burdens.

Read the original on Foreign Policy

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