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Efficacy and safety of esketamine for pain control after cesarean delivery: a systematic review and meta-analysis of randomized controlled trials

Tiejia Jiang, Rui Zhao

Frontiers in Pharmacology December 1, 2025 DOI: 10.3389/fphar.2025.1708221 via OpenAlex

Summary

AI-generated from the abstract

Esketamine provides relatively good pain control after surgery and is linked to a lower risk of postpartum depression, but this finding is not stable. In pregnant women over 30, esketamine may increase the risk of dizziness. The study was conducted entirely in China, which limits how broadly the results apply.

Study at a glance

Characteristics Randomized controlled trial Peer reviewed
Population Pregnant women in China
Intervention Esketamine
Topics Ketamine
Keywords Medicine Randomized controlled trial Anesthesia Pain control
Key finding Esketamine shows favorable efficacy for postoperative analgesia and is associated with a lower risk of postpartum depression, but the result is unstable and may increase dizziness in pregnant women over 30.

Abstract

As a therapy for postoperative analgesia, esketamine shows relatively favorable efficacy in pain control and is associated with a lower risk of postpartum depression. However, this result is unstable. Furthermore, esketamine may increase the risk of dizziness in pregnant women aged over 30 years. Since all the experiments in this study are conducted in China, there are certain regional limitations.

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