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A WOMAN has tragically died after plunging from the tenth floor of an apartment block, while holding her three-year-old twins.

The Spanish mother was instantly killed by the impact and her two children were rushed to hospital, where they remain in a critical condition.

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A mother has died after plunging from the tenth storey of a Madrid apartment buildingCredit: EmergenciasMad / X

The heartbreaking fall happened the day after the little family had celebrated the twins’ birthdays.

The 48-year-old fell at 9am on Saturday morning from an apartment building in the Ciudad Lineal neighbourhood of Madrid.

Only identified as Maria, the woman had bought presents for her children from a nearby shop just hours prior.

One of the twins has been admitted to Madrid’s 12 de October University Hospital, while the other is being treated at Hospital Infantil Nino Jesus – a children’s hospital.

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Medics have grave concerns that one of the twins may not survive, after sustaining the most serious injuries.

Maria was separated from the children’s father and lived alone.

Locals say she allegedly suffered from depression and had been on medication.

The apartment building is located on Calle Ricardo Ortiz, a quiet, residential neighbourhood, just 30 minutes from Madrid’s centre.

A spokesperson for the city ambulance service confirmed the death of Maria.

“Two children aged three have been taken to different hospitals,” they said.

“National police are conducting an ongoing investigation.

“Local police and firefighters were also mobilised.”

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