Items:

Provider connectedness
1. I can ask my health care provider about my pregnancy.
2. I have enough time with my health care provider to discuss my pregnancy.
3. My health care provider listens to me.
4. My health care provider respects me.
5. I expect my health care provider to respect my decisions about my pregnancy.
6. My health care provider respects my decision, even if it is different than her/his recommendation.

Skillful decision-making
7. I take responsibility for the decisions I make about my pregnancy like eating health food.
8. I can tell when I have made a good health choice.
9. Since I began prenatal care, I have been making more decisions about my health.

Peer connectedness
10. Women need to share experiences with other women when they are pregnant.
11. I share my feelings and experiences with other women.

Gaining voice
12. I know if I am gaining the right amount of weight during my pregnancy.
13. I have a right to ask questions when I don't understand something about my pregnancy.
14. I am able to change things in my life that are not healthy for me.
15. I am doing what I can to have a healthy baby.
16. If something is going wrong in my pregnancy, I know who to talk to.

Response Options:
4-point Likert scale
Strongly disagree - 1
Strongly agree - 4