Obstetric anesthesia

Intraoperative Esketamine and Postpartum Depression Among Women With Cesarean Delivery: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Primary resultResult — go to the resultRelative risk 0.53 95% CI 0.30–0.93

Authors' conclusion

This randomized clinical trial demonstrated esketamine's advantage in reducing the incidence of PPD at 6 weeks post partum in patients who underwent cesarean delivery.

Study context

Population
Pregnant patients admitted for cesarean delivery, excluding intellectual dysfunction or contraindications to esketamine; Chongqing, China, March 2023 to February 2024
Participants
308 patients
Comparison
Intraoperative esketamine 0.25 mg/kg vs saline
  • Esketaminen = 154
  • Controln = 154reference
Primary endpoint
Incidence of PPD (Edinburgh Postnatal Depression Scale)
Follow-up
6 weeks post partum
Methodological detailssingle-centre, 1:1 randomisation, placebo (saline)-controlled
  • Single-centre
  • 1:1 randomisation
  • Placebo (saline)-controlled

Primary result

As reported in the abstract

Relative risk

0.53

95% CI 0.30–0.93

P = 0.02

Events by treatment group

Esketamine vs Control
RR 0.53 (95% CI 0.30–0.93); P = 0.02

Original publication

Intraoperative Esketamine and Postpartum Depression Among Women With Cesarean Delivery: A Randomized Clinical Trial. JAMA Netw Open. Published 3 February 2025. doi:10.1001/jamanetworkopen.2024.59331

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