Though very shocked and excited when they first learned they would be having twins, the thought of complications that can arise from a twin pregnancy never entered Casey and Ebru Middlebrooks’ minds.  Their pregnancy started normal, like any other pregnancy, but at 18 weeks gestation, Ebru began having cramps and her belly got very tight and uncomfortable.  Fortunately, a friend of Ebru’s had informed her about Twin-to-Twin Transfusion Syndrome and its symptoms. Ebru scheduled an emergency visit with her OB doctor shortly after her cramps started and she was referred to see a specialist at the University of Alabama at Birmingham’s Maternal Fetal Medicine Clinic where her twins were diagnosed with TTTS.   After a series of unsuccessful amniotic fluid reductions at UAB, the Middlebrooks’ were recommended to the Fetal Care Center of Cincinnati where Ebru underwent Fetoscopic Laser Photocoagulation and Microseptostomy that ultimately saved their babies’ lives.  There were some complications with their donor baby after the surgery due to hydrocephalus (swelling of the skin and extra fluid around the brain).   However, at 25 weeks of gestation, and after a long and trying pregnancy, filled with uncertainty and even life-saving medical intervention, Casey and Ebru Middlebrooks welcomed sons William Grady and Aiden Harvey into the world.  “Immediately after birth, Grady was transferred to Children’s Hospital to have surgery to take out about 8 inches of his small intestines.  It took a little while before he could start eating and he had to spend a little extra time at the hospital before coming home,” said Middlebrooks. “I give God all the glory, for they are both doing great.” In early 2009, the Middlebrooks’ welcomed the boys home, together for the first time since birth.   The couple is planning to host the 1^st Annual GolfHope charity golf tournament in June in honor of their twins and others dealing with fetal syndromes. When asked advice for other families faced with fetal distress, Middlebrooks said, “first of all, pray and then pray some more.  Know that God is there for you and that He loves you.  Then seek information, arm yourself with knowledge, but rely on your heart to make decisions.  There will be many obstacles, but know that God once gave up a Son and through that knowledge He can grant you peace.”