Hartwig Christina, Haasen Christian, Reimer Jens, Garbe Werner, Lichtermann Dirk, Wuellenweber Linde, Dilg Christoph
Zentrum fur Interdisziplinare Suchtforschung der Universitat Hamburg (ZIS), Klinik fur Psychiatrie und Psychotherapie, Universitatsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Eur Addict Res. 2008;14(2):113-4. doi: 10.1159/000113726. Epub 2008 Mar 11.
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.
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.
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.
海洛因辅助治疗（HAT）是一种针对对美沙酮维持治疗等传统干预措施无反应的海洛因依赖患者的新型治疗方式。迄今为止，尚未有在海洛因辅助治疗期间怀孕或分娩的报道。
本文描述了一名31岁、重度依赖且患有多种疾病的女性在接受海洛因辅助治疗期间的怀孕过程，以及早产之后诞下一名健康婴儿的情况。海洛因辅助治疗有助于减少该女性在怀孕前及怀孕期间非法药物的使用。新生儿戒断综合征在临床上得到了良好的代偿。
海洛因辅助治疗似乎在孕妇中可行，且在该治疗方式下有可能实现正常分娩，因此对于对美沙酮维持治疗无反应的多药滥用孕妇而言，这可能是一种减少伤害的措施。
