The study has been done with an intention to public/aware the women falling under the reproductive age to lower maternal mortality as well as infant mortality in India. WHO (2010) shows that 18% of the global burden of maternal deaths occur in India. In this study women’s autonomy, as measured through some decision and its association with safe motherhood care is seen in different states of India. The study describes autonomy and safe motherhood care in different dimensions. The study also looks for temporal change considering the relationship with autonomy and safe motherhood care. The findings indicate that the level of women’s involvement in decision making as well as safe motherhood care varies in different regions of the country. The result also indicates that a positive time gap is observed both for autonomy and safe motherhood care.