This is a list of multiple births, consisting of notable higher order (4+) multiple births and pregnancies. Twins and triplets are sufficiently common to have their own separate articles. With the use of reproductive technology such as fertility drugs and in vitro fertilization (IVF) such births have become increasingly common. This list contains only multiple births which have some claim to notability, such as being the first recorded in a country, the first to survive to adulthood in a country, the heaviest, lightest or longest lived (globally), or having had substantial media coverage. Cases by number Twins (2) Triplets (3) Quadruplets (4) The Smith quadruplets, born 1750 in Kinsale, Ireland to a fisherman's wife. The Fisk quadruplets (born 26 August 1783), in Killingly, Connecticut, United States. Two boys (Ephraim and Joseph) and two girls (Keziah and Mary) all survived to adulthood. Dominica, 1790: According to The Times, a Dr. Giuseppe of Dominica reported that an unnamed Afro-Dominican woman (enslaved servant) living on the estate of Thomas Jemmitt gave birth to four girls, three of them almost eighteen hours after the first was born. All survived birth. The Rigby quadruplets (born 15 August 1817 in Norwich, Norfolk). The babies were named Primus John, Secundus Charles Henry, Tertius Robert Palgrave and Quarta Caroline Susan. All died young, Secundus on 2 September 1817, Tertius on 11 September 1817, Primus on 3 November 1817, and Quarta on 5 November 1817. On 24 December 1817, the Court of Aldermen presented their parents, Dr Edward Rigby and Mrs Anne Rigby (nee Palgrave), with a silver bread basket with the children's names engraved on it. The Gehri quadruplets (born 26 September 1880, in Switzerland) were the first recorded to have survived to adulthood. There were two boys (Oskar and Arthur) and two girls (Bertha and Rosa). The Page quadruplets (born 8 January 1890, in Redwater, Texas) were the first recorded quadruplets born in the United States. The Keys quadruplets (born 4 June 1915, in Hollis, Oklahoma) were the first same-sex quadruplets known to survive to adulthood. They attended Baylor University on scholarships and graduated in 1937. Roberta Keys Torn, the last surviving sister, died at 96 years in August 2011. The Mahaney quadruplets (born 25 December 1923, in Saint John, New Brunswick) were the first quadruplets born in Canada known to survive to adulthood. The Morlok quadruplets (born 1930 in Lansing, Michigan). The girls were the first