One day I was gleaning ideas for my own fanfiction, and I noticed that that while a lot of fics have Sasuke having a sister, I couldn't find any with him having another brother instead. Hence my attempt at a plotline...

I don't own naruto or anything associated.

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The air split as a woman's screams echoed through the hospital. Fugaku Uchiha swung to face the noise, his face haggard with worry.

"Is she all right?" he asked a random medic racing by. The medic shrugged helplessly and continued on her way.

Sighing in frustration, Fugaku ordered himself to get a grip. Interrogating clueless nurses wasn't going to get him anywhere.

The scream came again, and Fugaku knew instinctively that it was from his beloved wife. The pregnancy must be difficult this time. He couldn't remember there having been such trouble with Itachi.

There was another long, drawn out moan, followed abruptly by the squalling of a newborn child. Fugaku let out a shaky breath and leaned against the wall. The worst was over. Now all he had to do was wait.

His concerns mounted however as a nurse ran out minutes later and hastily placed a wrapped bundle in his arms. "We're having trouble with the other one," the medic replied to Fugaku's questioning glance. "We'll do what we can." Then she was gone.

Fugaku stared as the door closed behind the nurse. Other one? Was it possible that Mikoto was carrying twins? We're having trouble... Fugaku felt his heart still at the implications. If he were to lose Mikoto...

Trying to force the morbid thoughts from his mind, Fugaku looked down at his newborn child. A small whisp of raven black hair peeked out from underneath the blankets, and a shrill cry rose from the child's lips. Taking a quick look under the coverings, Fugaku smiled proudly. He had another son! At last, another Uchiha genius to grace their household. Fugaku's mind went to Itachi, and he wondered if this child would be anything like his older brother.

Abruptly another scream shattered his vision, and Fugaku's concern rose to a new height as the pain filled cries continued. Raised voices and running footsteps came from the room where he knew his wife to be. His jaw clenched tightly in fear for his beloved, Fugaku paced across the floors, rocking his son gently as the boy began crying from the noise.

Hold on, my beautiful Mikoto. You promised me you would help pick a name for our child. Fugaku shushed gently to calm his son's whimpers, sighing in frustration as Mikoto's deep moans continued. He felt so helpless here, a feeling he wasn't used to. Fugaku had prided himself in fearing nothing, but babies were beyond his scope of training. Once again he wondered what kind of problems the nurse had spoken of.

Abruptly Mikoto's cries stopped, leaving a feeling of dread in the pit of Fugaku's stomach. There were no further sounds from the room. Ten minutes later the door swung open and a nurse beckoned him inside.

"I'll take the baby," she said softly, indicating with a swing of her head that Fugaku's presence was needed.

A heavy weight seeming to slow his footsteps, Fugaku went to his wife's bedside and knelt down. "Mikoto?"

Several tears tracked down Mikoto's face as she ducked her head. "I lost the baby, Fugaku," she sobbed.

Fugaku's heart sank and he gathered Mikoto into his arms. One of the young medics, Tsunade as Fugaku recalled, was bent over a still bundle in the corner. Fugaku gazed in the direction as though he could will the child back to life. Realizing the matter was hopeless, Fugaku returned to comforting his distraught Mikoto.

Suddenly there was a thin keening sound, like a young animal crying out in hunger. Fugaku's head swung up as Tsunade twirled around, her face lit up with joy.

"He's alive!" she cried out as she brought the child over.

Fugaku was on his feet in an instant. Hastily he reached for the tiny bundle, gazing at the child in wonder before placing him in Mikoto's arms. Her tears far from dry, Mikoto cried in happiness as she took her baby.

"How can we ever thank you?" Fugaku said furtively as he turned to Tsunade.

The young nurse smiled but shook her head. "I was only doing my duty. I didn't want him to die if there was any possible way I could save him."

Fugaku nodded, his emotions threatening to choke him in a most informal way. Taking the elder twin from another nurse standing by, he knelt beside Mikoto and held the boy up for her to see.

"I know you wanted to help with the names," he said gently as he brushed Mikoto's hair back.

Mikoto smiled tiredly. "Didn't we already agree on Sasuke?"

Fugaku dipped his head in confirmation, but added, "That was before we knew we were going to have twin boys. I don't think Aika will be a very dignified name for my son."

Mikoto laughed softly, the sound like music to Fugaku's ears. "You really expect me to think of something right now?"

"You could always call him Lucky," Tsunade offered, having heard the conversation while tidying up the room.

Fugaku cleared his throat at the intrussion on their private talk, but Mikoto smiled. "I like that," she replied. "Kichirou."

Fugaku shook his head ruefully but gave in. "All right then, Kichirou it is," he replied. Seeing Mikoto's exhausted features, he added, "I'll leave you to get your rest now."

Mikoto grabbed his hand as though to make him stay, but at Tsunade's insitence she allowed Fugaku to leave. Fugaku took a final look at both his sons' faces, trying to memorize them so he could tell Itachi what to expect.

Sasuke, the older of the two, greatly resembled his mother. Fugaku could see Mikoto in every inch of the infant's face, and he was sure the boy's raven locks would grow to be as fine an lustrous as his mother's.

Kichirou on the other hand looked like an almost perfect balance between his two parents. The infant had a whisp of hair that was dark brown like Fugaku's and rich like Mikoto's. His face looked like his mother, yet with twin creases like his father.

Fugaku let out a heavy breath and let a nurse take the children from him. As much as he didn't want to leave Mikoto's side, he also didn't feelhe should leave Itachi at his cousin's house any longer than he had to. As fine a boy as Shisui was, he did have a habit of getting into trouble. Leaving the hospital with a light heart, Fugaku hurried to tell his son of the new additions to the family.

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