<p> Objective – To determine incidence, risk factors, presentation & management of ectopic pregnancy in rural tertiary care hospital. Material & Methods- retrospective study was done at Shrimati Kashibai Navale Medical College & General Hospital ,Narhe for duration of 3 years where presentation, risk factors & management of patient were analyzed. Result - Ectopic pregnancy was found more commonly in age group of 18 to 25 years, primipara, presented at gestational age of 6-8 weeks. Fallopian tube was most common site of implantation. Majority of patients were treated surgically as maximum patients were presented with ruptured ectopic. Conclusion- globally incidence of ectopic pregnancy is increasing so physician should have high index of suspicion for early diagnosis.</p>