A woman and her seven-year-old son have died while his twin sister is in hospital after they were involved in a horror head-on crash on the Hume Highway as they were on their way to school.
The two-car collision occurred at Pheasants Nest, southwest of Sydney, before 8am on Tuesday, closing the highway's southbound lanes for more than four hours.
The driver of a Mazda 4WD, named in media reports as 49-year-old Julie Bullock, died at the scene. Her two children, seven-year-old twins Hudson and Sienna, had to be freed from the vehicle by emergency workers.
The driver of a Holden car, also a 49-year-old woman, was trapped for some time as well, before she and Hudson were taken to Liverpool Hospital in a critical condition.
However, Hudson died several hours later.
Sienna was in a stable condition on Tuesday night at The Children's Hospital at Westmead and the Seven Network reported her father Darren was at her bedside.
The Holden driver remained at Liverpool Hospital where she was in a serious condition.
According to media reports, Ms Bullock had been taking her two children to Wollondilly Anglican College.
Headmaster Stuart Quarmby told Seven the twins had a special bond.
"They are and were great kids and we are deeply shocked and disturbed by this tragedy," Dr Quarmby said.
A witness to the crash told News Corp Australia he and other drivers stopped to help get the kids out of the car, which was upside down.
"A truckie pulled off the dashboard because the mum was trapped, to try and pull her out," he said.
"The boy told us it was his twin sister."
A caller to Sydney's 2GB radio described seeing a car's tyre marks leading from the northbound lanes of the highway through the centre nature strip and on to the southbound lane.
"Both cars were absolutely totalled," the witness said.
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