Severe Vulvar Varicosities in Pregnancy: A Case Report on Multidisciplinary Management and Successful Vaginal Delivery

Severe vulvar varicosities during pregnancy can pose unique challenges in obstetric care, particularly due to concerns about bleeding during delivery.While often benign and self-resolving postpartum, severe cases may complicate decision-making regarding the safest mode of delivery.We present herein a case of a term pregnancy complicated by extensive vulvar varicosities.Although initially scheduled for cesarean section due to possible increased risk of bleeding, the patient was ultimately managed through a multidisciplinary approach and successfully delivered vaginally without complications.In the absence of additional obstetric indications, a trial of vaginal delivery is a reasonable option, provided the delivery occurs in a well-equipped setting with surgical backup.Collaboration between obstetricians, anesthesiologists, and vascular surgeons, along with thorough patient counseling, is essential for optimal maternal and neonatal outcomes.