This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Following is the emergency management of bleeding vulvar varices during pregnancy : \nSelect and explain. \nA. Pressure, B. Cautery, C. Simple vulvectomy, D. Observation only', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Ans. is d i.e. Observation only Varicosities (lower leg, vulva, rectum) may appear for the first time or aggravate during pregnancy ustialiv in later months. It is due to obstruction in the venous return by the pregnant uterus. Specific treatment is better to be avoided. Varicosities usually disappear following delivery Valvular varicosities may be aided by application of a foam rubber pad suspended across the vulva by a belt used with a perineal pad. Rarely large varicosities may rupture leading to profuse hemorrhage.', 'role': 'assistant'}]