The partner of opera star Luciano Pavarotti has given birth to baby twins, but only one, a girl, has survived.
Nicoletta Mantovani, 33, had an emergency Caesarean section in a Bologna hospital on Monday afternoon.
She was in her 31st week of pregnancy, but the male twin was starved of oxygen before surgeons could deliver him.
The girl, who weighed less than 4.4 pounds, was Mantovani's first child and 67-year-old Pavarotti's fourth; he has three daughters by his former wife.
Pavarotti, one of the world's top tenors and widely credited with bringing opera to the masses, was at his partner's side in Bologna, in central Italy, his spokeswoman said.