 Our Current Counseling Practices Distort Decision-Making  Currently, a large majority of pregnant women who are offered standard prenatal screens and tests accept them, and the majority of those who receive abnormal test results proceed to abort. However, current counseling surrounding the tests does not include any exposure to people who have the tested-for conditions or any discussion of the social resources available for families with children with the conditions. Even supposedly nondirective counseling often uses stigmatizing language to talk about disability and the choice not to abort a fetus with a disabling trait, and reflects unsupported negative judgments regarding the abilities of and quality of life for persons with disabilities (Asch 2000, Madeo et al. 2011). Different forms of counseling might enable more informed decision-making and yield fewer choices to test and fewer choices to abort after testing. For instance, Bonnie Steinbock (2007) argues that prenatal testing practices for some conditions could be geared towards helping parents prepare for the birth of a child with that condition, rather than framed as preludes to a decision about abortion. In order for genuinely informative and trusting interactions to take place between counselors and prospective parents, however, counselors must be equipped with "disability competencies," which involve experience with disabilities and understanding of how various disabilities affect lives and families; improving counseling practices will require mandatory training in these areas (Sanborn and Patterson 2014).