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Dysphoric Milk Ejection Reflex: A Case Series.

Tamara L Ureño1, Toni L Buchheit2, Susan G Hopkinson3

  • 11 Department of Nursing-Maternal Child Health, Womack Army Medical Center , Fort Bragg, North Carolina.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
|November 9, 2017
PubMed
Summary
This summary is machine-generated.

Dysphoric milk ejection reflex (D-MER) causes brief, intense negative feelings during breastfeeding. These feelings resolve quickly after milk ejection, but the condition is poorly recognized by healthcare providers.

Keywords:
dopaminedysphoric milk ejection reflexmilk ejection reflexpostpartum depression

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Area of Science:

  • Reproductive Health
  • Lactation Physiology

Background:

  • Dysphoric milk ejection reflex (D-MER) is an abrupt, undesirable feeling associated with milk ejection reflex (MER).
  • The dysphoria is temporary, vanishing shortly after milk ejection.

Purpose of the Study:

  • To report on three cases of D-MER.
  • To highlight the limited recognition of D-MER in clinical practice.

Main Methods:

  • Case series reporting on three women experiencing D-MER.
  • Qualitative description of symptoms and onset.

Main Results:

  • All three women reported sudden negative feelings at the start of breastfeeding sessions.
  • Dysphoria resolved after milk ejection in all cases.

Conclusions:

  • These case studies support the existence of D-MER.
  • Further research is needed to understand D-MER's causes, prevalence, and treatments.