Aim: To study the incidence, risk factors, clinical features and management of ectopic pregnancies. Methods: This observational study was carried out in the Department of Obstetrics and Gynecology, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India. Total 120 cases were diagnosed with ectopic pregnancy. Results: The majority of the patients, 61 (50.83 percent), were between the ages of 20 and 25. 83.33 percent of the patients were under the age of 30. The majority of the patients (60 percent) were from a lower socioeconomic class. The majority of the patients were multiparous, with 89 (74.17 percent) being multiparous. The fallopian tube 109 was the most prevalent location of ectopic pregnancy (90.84 percent). Pelvic inflammatory disease was the most prevalent risk factor (52.33 percent), followed by H/o previous abortion (22.5 percent) and H/o previous abdominopelvic surgery (tubal ligation, LSCS, and appendicectomy) (16 percent) (13.33 percent ). Conclusion: The maternal morbidity and mortality associated with ectopic pregnancy can be reduced by early diagnosis, prompt referral, increased access to health care, proactive management, and enhanced blood bank facilities.