It was revealed that varicose veins of the vulva, vagina and perineum (VVVVP) on pregnancy and birth is more common in multiparous women with complicated obstetric history and multipara. Gynecological diseases, combined with other extragenital pathology, and pregnancy complications were more common in women with VVVVP. Varicose veins of the vulva, vagina and perineum increases the frequency of perineal ruptures during delivery, bleeding from soft tissue injuries of the birth canal. All women with varicose veins of the vulva, vagina and perineum delivered by cesarean section also had pelvic veins varicose.