In the third of a series of pieces on China's one-child policy, the BBC's Michael Bristow looks at whether people are, in fact, only having one child.
Wu Zhenfang, a 34-year-old mother, has done something that might surprise a lot of Westerners - she has given birth twice.
Wu Zhenfang had another child after giving birth to a girl
Mrs Wu, from a village in Anhui province, has two healthy children, an 11-year-old daughter and a seven-year-old son.
China's family planning rules are often referred to as the one-child policy, but there are a significant number of people like Mrs Wu who are allowed to have more.
There are also others who choose to ignore the rules and have extra children regardless of the consequences.
Central government officials say it is not accurate to describe China's efforts to control its population growth rate as a one-child policy.
"China's family planning policy is absolutely not a one-foetus or one-child policy," said Wang Guoqiang earlier this year when he was a vice minister at the National Population and Family Planning Commission.
"There are different guidelines and different government policies," he added.
Mr Wang explained that only 35.9% of the population is limited to having just one child. These people live mainly in urban areas.
Many rural couples, accounting for 52.9% of the population, are able to have two children if the first one is a girl, he said.
In other provinces, parents can have two children regardless of the sex of the first child, and in a few areas the rules are even more relaxed.
Mrs Wu was able to have two children because she comes from the countryside and her first child was a girl.
"When I got married I only wanted one child. But because it was a girl, my parents-in-law wanted me to try for a boy to carry on the family name," she says.
Rural families also want boys so they can help with farm work, she adds.
One downside of having two children is that Mrs Wu had to leave her home village and travel to Beijing to find work to support her family. She works as a nanny for a foreign couple.
The preference for boys is causing a sizeable gender imbalance
Her daughter lives in Anhui province with her 80-year-old mother-in-law. Her son lives with her and her husband in Beijing.
Apart from having a girl first, there are a number of other categories of people that are allowed to have more than just one child.
Couples from certain ethnic minority groups can often have more than one child, as can people who are the single children of "revolutionary martyrs".
Overseas Chinese who settle in China are also exempt, and when both parents have no siblings themselves they can have more than one child.
There are also people who, even though they are legally entitled to only one child, have two or more anyway.
In July, it was revealed that nearly 2,000 officials and celebrities in Hunan Province breached the nation's family planning regulations between 2000 and 2005.
Couples are usually fined if they contravene the rules.
The fine is based on how much the couple earns, and seems to vary from region to region, but many families just pay up.
"The current penalties are too low for well-off people," a family planning official from Hunan was reported as saying in the state media.
But despite the official - and unofficial - ways of having two or more children, some experts say most families have to have just one child, regardless of what the central government says.
A team of independent Chinese and foreign experts who recently produced a report on the family planning rules say China has put a positive spin on the figures.
For example, just over half the population might be able to have two children if the first is a girl but, of course, couples are just as likely to have a boy first.
Taking that into consideration means the majority of families are effectively limited to having just one child.
"We find that 63% of all couples in China could end up with only one child, 36% with two children and only 1% with three or more," the experts' report stated.
Family planning rules in China may be complex, and vary from region to region, but one child is still the norm in most households.