Objective: To determine whether the mRNA expression of the progesterone receptor (PR) or the estrogen receptor (ER) was altered in pregnancies complicated with preeclampsia (PE), small for gestational age (SGA), or PE with SGA. It has been indicated that not only estrogen but also progesterone may influence the vascular system during pregnancy, although the mechanism remainns unclear. It has also been shown that the placentas from women with PE produce more progesterone than those from normal pregnancies.Methods: Tissue samples from the central part of fetal placenta were obtained immediately after delivery from 20 women with normal pregnancies, 11 women with PE, 8 women with SGA, and 6 women with both PE and SGA.Main Outcome Measures: Total nucleic acids were prepared and mRNA levels of PR and ER were measured by a solution hybridization technique.Results: The mRNA levels of ER did not differ among the groups studied. The mRNA expression of PR was significantly higher in the placentas with PE both with and without SGA than in normal placentas. However, there was no change in the mRNA level of PR in the group with SGA as a single entity.Conclusion: The observation of an altered mRNA level of PR in PE with or without SGA could shed new light into regulation of the uteroplacental blood flow in this disease.