Following is the emergency management of bleeding vulvar varices during pregnancy:
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.
Pressure
Cautery
Simple vulvectomy
Observation only