NuViva: Development of postpartum nutrition and exercise program implementing the FIGO pregnancy passport to reduce cardiometabolic risk.

Pregnancy provides a unique opportunity to identify women at increased risk of future chronic disease, as adverse pregnancy outcomes (APOs) such as hypertensive disorders of pregnancy, gestational diabetes mellitus, preterm birth, placental complications, and fetal growth restriction are associated with later cardiometabolic morbidity. However, postpartum care remains fragmented and limited, representing a missed opportunity for preventive intervention. Currently in pilot phase, NuViva is a novel, multidisciplinary, community-based postpartum program, providing nutrition, physical exercise, and pelvic floor assessment education at 4 time points over a 12-month period post delivery. A smartphone application, based on recommendations of the FIGO pregnancy passport, supports biometric record keeping, self-monitoring, education, and adherence. Assessments include blood pressure and biometrics; laboratory investigations where indicated; pelvic floor assessment; functional fitness tests; and validated psychosocial, lifestyle, and nutrition questionnaires. The primary outcome is cardiovascular health score at 1 year postpartum. Secondary outcomes include anthropometric measures, mental health indicators, reproductive health factors, breastfeeding, physical fitness, and program feasibility metrics such as retention, satisfaction, and resource utilization.