A B S T R A C T The effect of perfusion pressure on uteroplacental blood flow was determined in pregnant rabbits utilizing the radioactive microsphere method.Control mean arterial pressure, 93 mm Hg±2.6 SEM, was raised by carotid ligation to 109±4.1 mm Hg and then reduced with antihypertensive drugs to 74+1.3 mm Hg. Over this range of pressure there was no significant change in cardiac output, 605+36, 523+37, and 540±39 ml/min; or uteroplacental blood flow, 30+3.2, 27±5.2, and 29±4.5 ml/min, respectively. When prostaglandin synthesis was inhibited with either indomethacin or meclofenamate (2 mg/kg), uterine vascular resistance was higher but maintenance of uteroplacental flow occurred over a perfusion pressure of 89±6.7-115 +9.3 mm Hg. With more severe hypotension induced with trimethaphan, control arterial pressure fell from 92±2.4 to 39+0.9 mm Hg, cardiac output fell from 514 +17 to 407+22 ml/min (P < 0.025) and uteroplacental blood flow fell from 6.1±0.9 to 2.5±0.9% of cardiac output (P<0.05), which represented an absolute fall from 32.4±5 to 10.6±3 ml/min (P <0.025). There was no significant change in renal blood flow expressed as percentage of cardiac output, 14.9+2 and 13±1.5%, or in absolute flow, 75+77 and 54+7 ml/min with trimethaphan-induced hypotension.These studies indicate that uteroplacental blood flow is maintained relatively constant over a range of perfusion pressure of 60-140 mm Hg in both normal and prostaglandin-inhibited pregnant rabbits. However, with reduction in pressure to 36-42 mm Hg, uteroplacental blood flow falls, expressed as a percentage of cardiac output and in absolute flow.