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Like their predecessors, Communist officials initially placed strict restrictions on birth control and abortion, encouraging high fertility rates. Focusing on the early years of the People’s Republic from 1949 until the Great Leap Forward, this chapter shows that even in this constrained environment, literature on sex and birth control continued to be published, promoting disparate narratives on sexuality and fostering diverse local contraceptive practices. The need to more fully mobilize women’s labor led to a gradual loosening of birth control limitations. Yet, the availability of information about sex, as well as access to birth control, abortions, and sterilizations, differed dramatically according to location, class, and education level.
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