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Dysphoric Milk Ejection Reflex: A Descriptive Study.

Tamara L Ureño1, Cristóbal S Berry-Cabán2, Ashley Adams2

  • 1Mother Baby Unit, Department of Nursing, Weed Army Community Hospital, Fort Irwin, California.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
|August 9, 2019
PubMed
Summary
This summary is machine-generated.

Dysphoric milk ejection reflex (D-MER) affects 9.1% of breastfeeding women, causing sudden, short-lived negative emotions during milk letdown. This D-MER experience differs from postpartum depression.

Keywords:
dysphoric milk ejection reflexmilk ejection reflexpostpartum depression

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Area of Science:

  • Lactation and Perinatal Health

Background:

  • Dysphoric milk ejection reflex (D-MER) is an abrupt dysphoria linked to the milk ejection reflex (MER).
  • Understanding D-MER's prevalence and symptom experience is crucial for supporting breastfeeding mothers.

Purpose of the Study:

  • To determine the prevalence of D-MER in breastfeeding women.
  • To describe the characteristic symptoms and experiences associated with D-MER.

Main Methods:

  • A retrospective chart review of women at 6- to 8-week postpartum visits over 12 months.
  • An anonymous 36-item cross-sectional online survey to gather detailed D-MER experiences.

Main Results:

  • A prevalence rate of 9.1% for D-MER was identified.
  • Symptoms were consistently described as sudden onset, lasting under 5 minutes.
  • Commonly reported emotions included anxiety, sadness, irritability, panic, agitation, oversensitivity, and tearfulness.

Conclusions:

  • This study provides the first prevalence data and symptom description for D-MER.
  • D-MER experiences are distinct from postpartum depression.
  • Further research into hormonal and neurotransmitter influences during lactation is warranted.