Background: A ruptured ectopic pregnancy is a true emergency and remains the leading cause of pregnancy related deaths worldwide. The objective is to study the clinical profile of ectopic pregnancy in a tertiary care hospital.

Methods:A retrospective study conducted at Coimbatore Medical College Hospital from Jan 2019 to Dec 2020. A total of 149 patients with ectopic pregnancy were analysed on patient characteristics, risk factors, intraoperative findings and treatment modality.

Results: A majority of patients with ectopic pregnancy (64.5%) did not have any risk factors, while 33.5% had predisposing risk factors associated with ectopic pregnancy. Most common presentation was ruptured tubal ectopic and the commonest site was ampulla (85.9%). There was 1 maternal death out of 149 cases reported (0.67%).

Conclusion: Ectopic pregnancy still remains one of the major causes of maternal morbidity and mortality. Early diagnosis and referral in hemodynamically stable state along with use of minimal access surgery or medical management can change the scenario of ectopic pregnancy in the developing world.