About three million extra babies will be born each year after Beijing abolished its hugely controversial "one child" policy to allow all couples to have two offspring, officials say.
Decades of strict, sometimes brutal enforcement left the world's largest population – 1.37 billion people – ageing rapidly and with a shrinking workforce that has heightened the challenges of slowing economic growth.
The rule change, announced after a key Communist Party meeting last month, will allow 90 million more Chinese women a second child, said Wang Pei'an, a vice minister of the National Health and Family Planning Commission.
But half of them are aged between 40 and 49, he added, limiting their desire or ability to bear children.
Some might be "reluctant" to have more children, he said, while some might be "unable to give birth" even if they wanted to.
Before the change, he added, 50 million women were already entitled to have a second baby under various exemptions – rural families whose first child is a girl, couples where one is an only child and ethnic minorities.
The announcement of the change prompted speculation of a baby boom giving the economy a boost, but analysts warn that many Chinese couples do not want more children, particularly given the expense, and the effects of the change remain unclear.
Relatively few have taken up the opportunities presented by reforms allowing some people more children in recent years.
There were nearly 17 million births in China in 2014 and Wang said the policy liberalisation will see around three million extra babies born each year over the next five years.
It would add a total of about 30 million people to the labour force by 2050, he told a briefing.