"Like the Clouds Covered the Sun": Maternal Experiences With Dysphoric Milk Ejection Reflex
Stephanie L Herr1, Jessica Devido1, Richard Zoucha2
1Duquesne School of Nursing, Pittsburgh, PA, USA.
Summary
Dysphoric Milk Ejection Reflex (D-MER) causes negative feelings during breastfeeding. Recognition and coping strategies can help, but more research is needed for effective D-MER interventions.
Area of Science:
- Reproductive Health
- Maternal Psychology
- Lactation Studies
Background:
- Dysphoric Milk Ejection Reflex (D-MER) is an understudied phenomenon impacting breastfeeding women.
- D-MER involves negative feelings associated with milk letdown, affecting maternal well-being and breastfeeding duration.
Purpose of the Study:
- To explore and understand the experiences of breastfeeding women who self-identify with D-MER.
- To uncover the perceptions, emotional responses, and behavioral adaptations related to D-MER.
Main Methods:
- Descriptive qualitative research design.
- In-depth interviews with 13 women experiencing D-MER.
- Thematic analysis of interview data using Braun and Clarke's methodology.
Main Results:
- Four themes emerged: concessions/toleration, feeling "abnormal," prior similar feelings, and validation through recognition.
- D-MER significantly influenced breastfeeding goals, maternal identity, and led to frustration with healthcare provider support.
- Participants found some relief and symptom reduction through social media, distraction, operant conditioning, and mindfulness.
Conclusions:
- D-MER negatively impacts breastfeeding experiences, potentially leading to premature cessation.
- Further research is essential to develop interventions for reducing or eliminating D-MER symptoms.
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