THE VENOUS SYSTEM IS COMPOSED of an intricate network of peripheral and conduit veins, as well as superficial and deep veins. The combined work of unidirectional valves, skeletal muscle contraction, and vein wall constriction ensures antegrade blood flow toward the heart and thereby maintain adequate venous return and cardiac output (51, 69). Vein dysfunction could lead to venous disorders that range in severity from unsightly lower extremity varicose veins to chronic venous insufficiency, deep vein thrombosis, and venous thromboembolism (69). In addition to risk factors such as diabetes, obesity, smoking, and age (3, 76), women may show greater incidence of varicose veins and chronic venous insufficiency than men (3,5,8,82). Also, our experimental studies showed decreased contraction in female vs. male rat inferior vena cava (IVC) (70,93). Among females, some premenopausal women may suffer from pelvic congestion syndrome, a poorly understood disorder of the pelvic venous circulation characterized by pelvic varicosities and pain worsened by prolonged standing, coitus, and menstruation (7). Importantly, the severity of pelvic congestion syndrome (7) and the risk of varicose veins (2,3,8,83,96), superficial and deep vein thrombosis, and venous thromboembolism increase during the course of pregnancy (9,39,50,66,92). In addition to blood hypercoagulability (33), changes in the vein wall mechanics and venous stasis (83) could play a role in pregnancy-related venous disorders. To understand the mechanisms involved in pregnancy-associated venous disorders, it is imperative to understand the cellular mechanisms regulating vascular function during normal pregnancy.Most of our knowledge regarding the cellular mechanisms of vascular contraction and the pregnancy-associated changes in vascular function comes from studies in arteries. Studies in various arterial preparations have suggested that increases in intracellular free Ca 2ϩ concentration ([Ca 2ϩ ] i ) due to initial Ca 2ϩ release from the intracellular stores and maintained Ca 2ϩ entry from the extracellular space are major determinants of