[Diagnosis and clinical course of extra-uterine gravidity. Catamnestic survey of patients of gynaecological hospital of Jena University (author's transl)].
Reported in this paper are aspects relating to diagnosis and clinical course of 308 cases of extra-uterine gravidity, with reference being made to the authors' own experience and to comparable information in literature. The cases reviewed accounted for 0.86 per cent of all deliveries in the period considered. Tubal gravidity was diagnosed of 98 per cent of the cases and ovarian gravidity in 1.9 per cent, that is six cases. Concomitance of intra-uterine gravidity was established in two cases. The average age of the patients was relatively high, 29 years. Unambiguous correlations were established between the above courses, on the one hand, and parity as previous abortions or abdominal surgery, on the other. Four in 24 pregnancies of women with IUD were tubal pregnancies. Typical menstruation history was recordable from less than 50 per cent of the above patients. Early detection of unruptured tubal gravidity improved along with introduction of laparoscopy. Efforts have always been made to preserve fertility, whenever surgical treatment has been applied. There were no deaths.