Madonna has flown to Blantyre, Malawi, to celebrate the first anniversary of the Mercy James Centre for Pediatric Surgery and Intensive Care, named after one of her adopted daughters.
And the international superstar – who has adopted four Malawian children and is mother to a biological son and daughter too – took to Instagram to post a shot of her proudly standing with her entire brood on Monday.
Madonna, 59, previously adopted David and Mercy, both 12, from Malawi as well as five-year-old twin sisters Esther and Stella.
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