<P> The peak wave of abandonment occurred in the 1990s, with a smaller wave after 2000 . Around the same time, poor care and high mortality rates in some state orphanages generated intense international pressure for reform . </P> <P> After 2005, the number of international adoptions declined, due both to falling birth rates and the related increase in demand for adoptions by Chinese parents themselves . In an interview with National Public Radio on 30 October 2015, Adam Pertman, president and CEO of the National Center on Adoption and Permanency, indicated that "the infant girls of yesteryear have not been available, if you will, for five, seven years . China has been...trying to keep the girls within the country...And the consequence is that, today, rather than those young girls who used to be available--primarily girls--today, it's older children, children with special needs, children in sibling groups . It's very, very different ." </P> <P> Since there are no penalties for multiple births, it is believed that an increasing number of couples are turning to fertility medicines to induce the conception of twins . According to a 2006 China Daily report, the number of twins born per year was estimated to have doubled . </P> <P> The one - child policy has played a major role in improving the quality of life for women in China . For thousands of years, girls have held a lower status in Chinese households . However, the one - child policy's limit on the number of children has prompted parents of women to start investing money in their well - being . As a result of being an only child, women have increased opportunity to receive an education, and support to get better jobs . One of the side effects of the one - child policy is to have liberated women from heavy duties in terms of taking care of many children and the family in the past; instead women had a lot of spare time for themselves to pursue their career or hobbies . The other major "side effect" of the one child policy is that the traditional concepts of gender roles between men and women have weakened . Being one and the only "chance" the parents have, women are expected to compete with peer men for better educational resources or career opportunities . Especially in cities where one - child policy was much more regulated and enforced, expectations on women to succeed in life are no less than on men . </P>

What happens if you have twins in china one child policy
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