This document discusses various assisted reproductive technologies and unusual pregnancies and births. It describes how the first "test tube baby" was born in 1978 and now approximately 48,000 women in the US give birth annually from lab-conceived pregnancies. It also notes that a 2008 Spanish woman who lied about her age and had twins at 69 died leaving behind her 2-year-old twins. The document also mentions the oldest mothers and surrogates on record, as well as the youngest mother and earliest surviving preterm babies.