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Mother's Autonomy in Decision Making (MADM) scale

The Mother's Autonomy in Decision Making (MADM) scale is a uni-dimensional scale to assess women’s autonomy and role in
decision making during maternity care

Developed by:

Saraswathi Vedam, Kathrin Stoll, Kelsey Martin, Nicholas Rubashkin, Sarah Partridge, Dana Thordarson, Ganga Jolicoeur (The Changing Childbirth in BC Steering Council)

Measure domains:

Autonomy in decision-making

Items and subscales:

7 items

Outcomes predicted:

care provider type

length of prenatal appointments

preferences for role in decision-making

satisfaction with experience of decision-making

Cronbach's alpha:

< 0.90

Study population(s):

Women of childbearing age who had given birth and/or were currently pregnant in British Columbia, Canada

Measure validated?:


Link(s) to Validation Study and/or Measure:

Citation of original article

Get citation
Vedam, S., Stoll, K., Martin, K, Rubashkin, N., Partridge, S., Thordarson, D., (2017). The Mother’s Autonomy in Decision Making (MADM) scale: Patient-led development and psychometric testing of a new instrument to evaluate experience of maternity care. PLoS ONE 12(2): e0171804. doi:10.1371/journal.pone.0171804