It was confirmed yesterday that Asienti Mwale, the women who raised David in Malawi, died on Sunday night of pneumonia.
Madonna - who has two other children, Lourdes, 11, and eight-year-old Rocco - recently said the adoption process was like "natural childbirth".
She said: "It was painful and a big struggle and I didn't understand it. In the end, I rationalised that when a woman goes through natural childbirth, she suffers an enormous amount. I went through my own kind of birthing pains."
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