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Eur Addict Res. 2008;14(2):113-4. doi: 10.1159/000113726. Epub 2008 Mar 11.

Pregnancy and birth under maintenance treatment with diamorphine (heroin): a case report.

Author information

1
Zentrum fur Interdisziplinare Suchtforschung der Universitat Hamburg (ZIS), Klinik fur Psychiatrie und Psychotherapie, Universitatsklinikum Hamburg-Eppendorf, Hamburg, Germany.

Abstract

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.

PMID:
18334822
DOI:
10.1159/000113726
[Indexed for MEDLINE]

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