P543: Prenatal aneuploidy screening and testing decisions: A qualitative study of patient motivations and misconceptions in the age of cell-Free DNA

Cell free DNA, the most rapidly adopted genetic screening test in recent history, is increasingly available even in practice settings with little to no access to genetic counseling. Recent literature suggests the average prenatal care provider spends less than five minutes discussing genetic testing options in pregnancy. In recall studies, patients are not always aware of the testing that has been ordered. Pregnant patients with limited educational attainment, especially those who do not speak English as a primary language, have been underrepresented in prenatal genetics education research, face barriers to receiving genetic counseling, and are particularly vulnerable to lack of informed consent in prenatal genetics.