Since even the name of the game is "Old Maid" we shouldn't be surprised the images might be a bit sexist. In the gaming world, the concept is known as a "going out game" as the idea is to get rid of your cards. From Victorian days, Old Maid is a card game with a universal spread and each country has a funny name for it. "Scabby Queen" in the UK, "Ungguy-ungguyan" in the Philippines, "Baba-nuki" in Japan, "Blind King" in Egypt, "Gir-Gir" in Turkey, "Stink" in Brazil. The Dutch call it "Black Pete" and play it in the "jackass" style. You do not need vintage sexist cards, any deck of cards will do, but you have to remove one and give it a nasty name. I don't think I want to see the commercial versions of "Stink" or "Scabby Queen" at all.
Sample Old Maid cards, c. 1940 Collection Jim Linderman