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Effect of Low-dose Esketamine on Maternal Depression at 3 Years After Childbirth
Sponsor: Peking University First Hospital
Summary
Postpartum depression refers to the depression after childbirth, which is a common mental disorder in women. The pathogenesis of postpartum depression is not fully understood, and may be related to a variety of factors. Prenatal depression is an important risk factor for postpartum depression. Our recent multicenter randomized controlled trial, "Effect of Low-dose esketamine on the incidence of postpartum depression in women with prenatal depression", explored the effect of immediate postpartum intravenous infusion of low-dose esketamine on the incidence of postpartum depression in women with prenatal depression. The preliminary results showed that it reduced the incidence of postpartum depression at 42 days. Since there were no studies on the effect of intravenous esketamine infusion after delivery on long-term postpartum depression, this study is a long-term follow-up of the previous randomized trial. We aim to explore the effect of low-dose intravenous esketamine after delivery on the incidence of 2-year maternal depression after delivery in women with prenatal depressive symptoms.
Official title: Effect of Intravenous Low-dose Esketamine on Maternal Depression at 3 Years After Childbirth in Women With Prenatal Depression: 3-year Follow-up of a Randomized Controlled Trial
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
364
Start Date
2023-09-09
Completion Date
2025-11
Last Updated
2024-12-05
Healthy Volunteers
No
Interventions
Esketamine
0.2 mg/kg S-ketamine in 20 ml normal saline will be infused at a rate of 30 ml/h (infusion finished in 40 minutes) after giving birth
Placebo
20 ml normal saline will be infused at a rate of 30 ml/h (infusion finished in 40 minutes) after giving birth.
Locations (4)
Hunan Provincial Maternal and Child Health Care Hospital
Changsha, Hunan, China
Women's Hospital of Nanjing Medical University
Nanjing, Jiangsu, China
Women's Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
Peking University First Hospital
Beijing, China