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- All Subjects: Fertility
- Creators: Jiang, Lijing
- Creators: Bean, Heather
In September 1979, China's Fifth National People's Congress passed a policy that encouraged one-child families. Following this decision from the Chinese Communist Party (CCP), campaigns were initiated to implement the One-Child Policy nationwide. This initiative constituted the most massive governmental attempt to control human fertility and reproduction in human history. These campaigns prioritized reproductive technologies for contraception, abortion, and sterilization in gynecological and obstetric medicine, while downplaying technologies related to fertility treatment. In the late 1980s, one of the consequences was the reorientation of the rationality of governmental funding for research on human in vitro fertilization (IVF) and embryo transfer.
On 10 March 1988, China's first baby conceived through human in vitro fertilization (IVF) and embryo transfer (ET), commonly referred to as a test-tube baby, was born at the Peking Hospital (PUTH) in Beijing. This birth was reported in numerous media reports as a huge step forward in China's long march to keep pace with global advances in science and technology. Led by gynecologist Zhang Lizhu, the PUTH research team had devoted more than four years to the human IVF-ET project. The team had to start by learning the basics of human egg morphology and embryology in order to design an IVF-ET strategy that was suited to the reproductive pathology affecting China's infertile population.
The findings illustrate how fertility and marriage patterns have changed over generations and range from a politically tumultuous period, which includes World War II, liberation, and the Korean War, to an advanced economic period. By and large, the three studies suggest that until 1960, fertility and family formation converged as per social norms and leadership guidelines. Then, marriage and childbearing behaviors began to diversify and variation by social groups increased for cohorts born during and after the 1960s. The phrase “convergence towards diversity” captures the reversal of demographic trends within the country. Taken together, this dissertation advances our understanding of how fertility and family formation have changed in South Korea, which has been on an intense demographic journey from pre-transitional fertility through very low fertility, and currently headed toward another destination.