Mourners today prepared to bury a fifth Amish girl who was gunned down in a US school classroom and faced the possibility that at least one of five other girls wounded in the shooting could die.

Funerals for four of the five Amish girls killed in a classroom massacre have been held in Pennsylvania.

Amish families gathered today to bury four of the five girls gunned down inside their tiny rural schoolhouse.

A fourth US child died today from wounds suffered during the shootings at an Amish schoolhouse in Pennsylvania.