This clinical trial is about prenatal genetic screening. It will test an intervention to help people make decisions about screening. The intervention is a short set of information cards about screening. This intervention is for pregnant participants. They will use the intervention on their mobile phone before they see their doctor.

The study has one main question:

• Do participants who use the intervention feel more confident when they make a decision about screening?

Researchers will compare participants who use the intervention to participants who do not. All participants will have their usual care when they visit their doctor.

What will participants do?

• Participants must be pregnant. They will sign up for the study before their first doctor's visit for their pregnancy. This is the visit where their doctor usually talks with them about screening.
• Some participants will use the intervention before their first doctor's visit. Other participants will not use it.
• All participants will talk with a researcher on the phone after their first doctor's visit.
• Participants who use the intervention will answer a short survey on their phone.
• A few participants who use the intervention will talk with a researcher a second time on the phone.

Inclusion Criteria:

• Currently pregnant and receiving care at a participating collaborative site - University of North Carolina, Chapel Hill; Zuckerberg Chan San Francisco General Hospital; University of Florida Health, Jacksonville.
• 18 years of age and older
• Able to read, speak, and understand English or Spanish
• Has not previously been offered prenatal genetic screening for the current pregnancy
• 24 weeks (6 months) gestational age or less

Exclusion Criteria:

• Not pregnant, not a patient at a partner clinical site
• Younger than 18 years of age
• Not being able to read, speak, and understand English or Spanish
• Has previously been offered prenatal genetic screening for the current pregnancy
• Greater than 24 weeks gestational age (6 months)

Data will be shared via the Inter-university Consortium for Political and Social Research. To the extent the context of data collection can be revealed without compromising the privacy and identity of research participants, it will be included in study protocols. Data will be anonymized.

Qualitative data such as de-identified and redacted transcripts, coding summaries, and metadata will be shared. Quantitative, including de-identified individual and aggregate survey data (including raw and recoded data) will be shared.

Approximately six to twelve months after the completion of data analysis. Methods and data collection instruments will be available to the research community before the completion of the study. Published outcomes as well as data deposited in the Inter-university Consortium for Political and Social Research will be available indefinitely.

Access to all deposited materials will be available to researchers registered and verified through the Inter-university Consortium for Political and Social Research (ICPSR). The ICPSR, a digital repository, utilizes a "Reference Model for an Open Archival Information System (OAIS), an International Organization for Standardization (ISO) standard that provides the functional framework for sustaining digital objects in managed repositories." Detailed access criteria can be found here: https://www.icpsr.umich.edu/sites/icpsr/about/policies/access-policy-framework