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
Following is the emergency management of bleeding 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.

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.