Rare Identical Twins with Down Syndrome Are Called “Little Gems” by Their Proud Mom

While the likelihood of giving birth to twins has risen significantly—up by 72% between 1980 and 2018—twin births remain relatively uncommon. Today, about 33 out of every 1,000 births are twins, with only three to four of those being identical twins. That’s already rare.

But what happened to 23-year-old Savannah Combs of Middleburg, Florida, was even more extraordinary. She found out she was pregnant with identical twin girls—and then came even rarer news: both of her babies had Down syndrome.

“It’s very rare what they have, but they’ve been my little gems,” Savannah told News4JAX.

Despite the emotional weight of the diagnosis and knowing the world can be judgmental, Savannah and her husband, Justin Ackerman, chose love, hope, and resilience. She decided to share their journey openly on TikTok, where her daughters quickly captured hearts across the platform.