This document summarizes an audit of the management of ectopic pregnancies at a UK trust between 2009-2011. It found that conservative management often did not follow guidelines to only include cases with initial hCG <1000. Methotrexate management mostly adhered to guidelines but some patients required intervention. Surgery remained the most common treatment. Overall compliance with anti-D prophylaxis was 69% but improvements in documentation were needed. The audit recommended increased use of methotrexate and improved clinical pathways to ensure guideline adherence.