Purpose: To examine the phenomenon of reproductive decision making in the context of women's health care. Advocacy for informed choice, shared decision making and the right to self determination is a hallmark of women's health care. Self determination and empowerment are valued components in the reproductive health care of women, which leads to improved health status overall. Reproductive decision making is viewed as a complex social process with multiple dimensions, moderated by personal and social contexts. The goal of this concept analysis is to identify the dimensions of the process of reproductive decision making. Design: Dimensional analysis, a methodological approach to grounded theory, is based upon the work of Schatzman (1991). Through a review of the extant literature, using qualitative, grounded theory methodology, themes were identified, and dimensions of choice emerged. Methods: 307 articles related to reproductive choices and decision-making were selected. Research findings, recurrent phrases and themes were identified and categorized, with the aid of matrices, utilizing the process of dimensional analysis, metasynthesis techniques and grounded theory methodology. Data Sources: The medical, nursing, social science, legal, religious, and ethics literature were reviewed using computer-based and secondary bibliographic searches. Electronic databases included CINAHL, MEDLINE, Cochran Review, Ethics Consult, ERIC, and HAPI. Search terms included fetal surgery, prenatal diagnosis, fetal impairment, quality of life and disability, maternal serum testing, reproductive choice, reproductive technologies, therapeutic abortions, reproductive decision-making and prenatal genetic counseling. Dictionaries, encyclopedic references, and the classical literature were consulted. Results: Initial analysis revealed 25 different dimensions of the process of reproductive decision making. A final, integrative analysis reduced the initial 25 dimension to 4 core dimensions of reproductive decision making: personal appraisal, the structure of health services, informed consent, and self-determination. Conclusion: Reproductive decision making is situation specific, shaped by the interaction of personal and situational factors. It is a multidimensional social process that is based on a relational world view. Support and facilitation of an individual's control over their reproductive choices is the ultimate goal of the women's health care provider.