Background: Ectopic pregnancy is a major health risk factor for women of child bearing age and if not diagnosed and treated properly can lead to life threatening complications. Aims: To determine the incidence, clinical presentations, risk factors, treatment, morbidity and mortality associated with ectopic pregnancy. Materials and Methods: It is a prospective study conducted at Vijayanagara Institute of Medical Sciences (VIMS), Ballari from January 2016 to June 2017. A total of 54 patients with ectopic pregnancy were admitted. These cases were analysed on clinical presentation, clinical findings, investigations, operative findings and outcome. Results: The incidence of ectopic pregnancy in the present study was 0.49% (54/10,836 deliveries). A majority of women (46.29%) were in the age group of 2530 years and 89% were multigravida. The commonest risk factor identified was tubal surgery (25.92%). Pain abdomen (94.44%) and amenorrhea (79.62%) were the most common presenting symptoms. Salpingectomy was done in 83.33% of patients, where as 16.66% underwent salpingoophorectomy. All women received blood transfusion. No maternal mortality was noted. Conclusion: Ectopic pregnancy continues to be one of the important obstetrics emergencies. A high index of suspicion is needed for an early diagnosis, to prevent complications and to preserve the future reproductive function of the patient.

Keywords: Ectopic Pregnancy; Abdomen and Amenorrhea.