An ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside endometrial cavity. It is a life threatening emergency. It complicates 0.25-2.0% of all pregnancies world wide.Aim of this study is to determine incidence, clinical presentation, risk factors, diagnosis and management in tertiary care hospital. Methods: This retrospective observational study was conducted over the period of December 2015 to November 2016 for 1 year. Total 51 cases were found. Data was collected, tabulated and analyzed. Results: The incidence of ectopic pregnancy was 1.33% in our study. Most patients were in the age group of 20-24 years. The most common presenting clinical presentation was amenorrhoea, abdominal pain and vaginal bleeding (88.23%, 74.50% and 62% respectively). Around 19.60% cases presented in shock status.11.76% cases required 1 blood transfusion and 19.60%cases required 2or more than blood transfusion. Majority of the patients had previous history of pelvic inflammatory disease (31.37%). History of previous abortion was found in 23.52% of patients. In 27.45% of patients conservative management (single dose methotrexate) was given successfully and in 72.54% emergency laparotomy was done. Conclusion: Heightened awareness in physician, use of ultrasonography will lead to early diagnosis and more of a conservative management.
