Abstract          Background: Ectopic pregnancy is a life-threatening emergency, and a significant cause of morbidity and mortality in female patients. Objective: The aim of this study is to determine the incidence, clinical presentation, risk factors, and management of post operative complications, morbidity and mortality associated with ectopic pregnancies at Bharati Vidyapeeth Deemed University Medical College and Hospital, Sangli. Material and Methods: This was a retrospective study of ectopic pregnancies managed at Bharati Vidyapeeth Deemed University Medical College and Hospital, Sangli during the study period (Dec 2014 to March 2016). Total patients diagnosed as ectopic pregnancy and total number of delivered at Bharati Vidyapeeth Deemed University Medical College and Hospital, Sangli during study period are compared. There were total 50 cases [4.55%] of ectopic pregnancies out of 1100 deliveries. There were 50 cases of ectopic among 500 gynacology admissions. Results: Incidence of ectopic pregnancy in our study was 4.55%. The mean age of the patients was 28 years. 45of 50 (90%) had ruptured ectopic pregnancies and four (08%) were unruptured. In 48 of 50 patients (96%) clinical presentation was abdominal pain. Previous history of abortion was commonest risk factor. It was seen in 28 (56%) cases. No death was recorded. Conclusion: Ectopic pregnancy is a major cause of maternal morbidity. It is one of the life threatening condition. It is one of the reproductive health challenge . It affects future obstetric carrier of females. It may be due to tubal infections from previous induced abortions. Other risk factors are tubal surgery, various infertility treatments.

Keywords: ectopic, emergency, pregnancy, life-threatening, fallopian tube, anemia, pelvic inflammatory disease (PID).