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In the chinese cultural it is traditionally known that in china males are preferred than females. So, their maternal health care is available to any women whose pregnancy is approved with just a little charge or none at all but for the pregnancies that are not approved by “The national Ministry of Public Health” need to pay a good amount of fees. In 2001, there was a research done by Doherty, Norton, and Veney that concluded that women whose pregnancies were not approved avoided the need to get obstetric care services (Kartchner/Callister, 2003). This can be a major effect of the physical development of the fetus because without the regular check ups a childbearing women needs to do, how are they sure that the child is getting the right nutrition in order to make sure that the child will be able to use their bodies (movement patterns) and physical skills, the need to avoid non organic failure to thrive later on in the child 's life. Also, areas of social development is significantly affected, In the article it states, “Because so many people are involved, from the government to the healthcare community to the extended family, the focus on childbirth as an individual experience for the mother is obscured. Rather, it is a group project with roots in a collectivist tradition (Locsin, 2000).” (Kartchner/Callister, 2003). Childbirth in china is about putting people in the middle of the development. Which means that it needs to benefit others, like having a boy instead of a girl because it 's known that males are responsible to take care of the elderly (parents) and females leave the house to live with their husbands. As it 's stated in the first paragraph, cognitive development can also be affected because since childbirth is deeply influenced by their cultural, it changes the way they think and their decisions on