Turkey offers US joint Syria operation, without the Kurds
Dozens of civilians were also wounded in the raids on Idlib, a provincial capital held by al Qaeda affiliate Al-Nusra Front and its allies since March last year, the Syrian Observatory for Human Rights said.
al Nusra is not party to a Russian- and US-brokered ceasefire that went into force on February 27 between Moscow-backed government forces and Washington-backed non-militant rebels.
"The air strikes are the most intensive on Idlib since the beginning of the truce," Observatory chief Rami Abdel Rahman told AFP.
"Even though Idlib is not covered by the truce, it had been relatively calm with only intermittent raids," he added.
The strikes hit near a hospital and a public garden.
Moscow has been carrying out an air campaign in support of its Damascus ally since September last year.
Thousands flee Islamic State offensive in northern Syria
It has been criticised for targeting non-militant rebels as well as al Qaeda and its rival the Islamic State group.
Russia has called for other rebel groups to withdraw from areas controlled by al Nusra and break ranks with the radical militants.
More than 280,000 people have been killed in Syria since the civil war erupted in 2011.
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