European Addiction Research · 2008 · 17 citations · 11 references
MedicineObstetricsPharmacotherapyMaternal-fetal MedicinePerinatal PsychiatrySubstance Use DisordersPregnancyPregnancy PharmacologyPrenatal CarePrenatal DevelopmentSubstance Abuse PreventionHarm Reduction BehaviorHarm Reduction PharmacologyMethadone Maintenance TherapyMethadone Maintenance TreatmentNeonatal Abstinence SyndromeNormal BirthSelf-harm ReductionStimulant Use In Pregnancy
BACKGROUND: Heroin-assisted treatment (HAT) is a new form of treatment for heroin-dependent patients not responding to conventional interventions such as methadone maintenance treatment. No pregnancies or births under HAT have been reported until now. CASE: The pregnancy course of a 31-year-old severely dependent multi-morbid woman receiving HAT and the birth of a healthy baby after premature delivery is described. HAT helped to reduce the use of illicit substances both before and during pregnancy. The neonatal abstinence syndrome was clinically well compensated. CONCLUSION: HAT seems to be feasible in pregnant women and normal birth is possible under HAT, which therefore may act as a harm reduction measure for polydrug-using pregnant women not responding to methadone maintenance treatment.
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Heroin-assisted treatment for opioid dependence
Christian Haasen, Uwe Verthein, Peter Degkwitz et al. · The British Journal of Psychiatry · 2007 · 268 citations · Full text