If it's about the abortions, apparently there's two types of action taken[1]. If it's in an urban area, they apparently either charge a fee or don't assign a household register to the child (not sure what that means), but if it's rural they do apparently force abortions. If you're okay with the social policy, it seems like there are solutions that don't require forced abortions (such as implanted birth control). Whether that aspect is still ethically worse than the U.S. or not probably depends on your view on reproductive rights.
1: https://www.quora.com/What-happens-when-a-family-disobeys-th...