This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical, surgical and gynaecological illness complicating pregnancy, Subject name: Gynaecology & Obstetrics
Following is the management of vulvar varices during pregnancy : 
Select and explain. 
A. Pressure, B. Cautery, C. Simple vulvectomy, D. Observation only
D: Observation only
Answer: D: Observation only 
Explanation: Varicosities (lower leg, vulva, rectum) may appear for the first time or aggravate during pregnancy usually in later months Its due to obstruction in the venous return by the pregnant uterus. Specific treatment is better to be avoided Usually disappears following delivery Ref . Dutta Obs 6/e p103 Williams Obs 23/e p 210-211