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A relative of a friend called their baby girl Hanna Sophia. It looked very strange to me, but I got used to it after repeated viewings. I still prefer the Hannah spelling - that extra 'h', like in Susannah, gives an extra gust of fresh air on the end, an extra whiff of spring pollen... something like that.

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I pronounce Hannah and Hanna the same.
It is a bit common. It's not a surprising choice at all.
Hana would confuse me. I would assume you meant it as an alternate spelling of Hannah, pronounced the same.

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I think it's a great idea for a middle name.