Background: Diagnosis of ectopic pregnancy was frequently missed and rising trend in incidence of ectopic pregnancies necessitates awareness about risk factors, resultant morbidity and mortality. Aim of the study was to determine the incidence, clinical presentation, risk factors, treatment and morbidity and mortality associated with ectopic pregnancy. Methods: This retrospective study was conducted in the department of obstetrics and gynaecology, Bhima Bhoi Medical College&Hospital, Balangir, Odisha during the period of November 2017 to October 2019 for the period of 2 years. The following parameters: age, parity, gestational age, risk factors, clinical presentation, site of ectopic, diagnostic methods, mode of treatment and morbidity were noted. Results: Out of 20717 deliveries, 64 were ectopic pregnancies (0.31 %). Women with age 20–30yrs had highest incidence (73.43%). Ectopic pregnancies were common in multiparous women than primigravida . Common symptoms: abdominal pain (95.31%), amennorhea (90.62%), bleeding per vaginum (39.06%). Urine pregnancy test positive in 93.75%cases. Etiology was pelvic infection (29.69%), past h/o abortion (15.62%) infertility (3.12%), previous ectopic (1.56%), contraception (6.25%), past tubectomy (6.57%). Right sided ectopic was more common. Site of ectopic: Common in fallopian tube– ampullary region (65.62%), cornua (15.62%), isthmus (10.93%), fimbria (4.68%), followed by ovarian ectopic (3.12%). About 67.18% of ectopic was ruptured, almost 60% of these patients presented with shock at the time of presentation. Tubal abortions were seen in 18.75% of patients. Most of cases being ruptured ectopic pregnancies, salpingectomy in 92.18% and salpingoopherectomy in 4.68%. Morbidity was blood transfusion (90.63%), wound complications 7.81% and no mortality. Conclusions: The incidence of ectopic pregnancy is on rise. It is a common life threating emergency in first trimester of pregnancy that leads to serious maternal morbidity and also can cause mortality. A high index of suspicion is required for its early diagnosis, so that proper management can be done and the complications can be avoided.