Twin births have become more common in recent decades—about 33 in every 1,000 births—but identical twins remain a rarity, making up just three to four per thousand. For 23-year-old Savannah Combs of Middleburg, Florida, discovering she was pregnant with identical twin girls was already extraordinary. But nothing could have prepared her for what came next: both of her daughters were diagnosed with Down syndrome.
Savannah and her husband, Justin Ackerman, were stunned when prenatal testing confirmed the diagnosis. Doctors gently suggested she consider termination, citing the medical challenges often associated with Down syndrome. But Savannah never wavered. “Every appointment where they were alive felt like a gift,” she shared on TikTok. Refusing to give up on her daughters, she made a quiet promise—to carry them as long as she could and love them with everything she had.
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