Dysphoric milk ejection reflex: A case report
A Case of Dysphoric Milk Ejection Reflex (D-MER)
Maternal experiences of embodied emotional sensations during breast feeding: An Interpretative Phenomenological Analysis
Multiple lactation texts have included information about D-MER. A Google Book search reveals which ones.
Google Scholar shows any papers or studies published about D-MER.
The D-MER blog posts twice a month with updates that includes informative content as well as stories from other mothers.
Dysphoric Milk Ejection Reflex: A Case Series
The Mystery of D-MER: What Can Hormonal Research Tell Us About Dysphoric Milk-Ejection Reflex?
A study by means of a mixed method design approach out of
the KAROLINSKA INSTITUTET. An institution for women and children’s health
This is the first study to quantify a prevalence rate and describe suspected experiences of D-MER. It is published in the journal of Breastfeeding Medicine.
Dysphoric milk ejection reflex is experienced as intense negative emotions temporally related to the ejection of milk during lactation. A recently published study provides further characterisation of this phenomenon. The current research, its limitations, and possible areas for further research are discussed in this commentary.
Dysphoric Milk Ejection Reflex: The Psychoneurobiology of the Breastfeeding Experience
Dysphoric milk ejection reflex is an idiopathic condition experienced by some breastfeeding women that is characterized by an abrupt experience of negative emotions or sensation prior to milk let-down. Many women struggle to make sense of the condition, and report barriers to communicating with others about their experiences and accessing support from healthcare providers. Dysphoric milk ejection reflex is often reported by women to impact self-efficacy and contribute to secondary psychological effects.
The symptoms of Dysphoric Milk Ejection Reflex (D-MER) occur just before milk release, last no more than a few minutes, and then subside spontaneously, which are characterized by a sudden and transient feeling of dysphoria, depression, sadness, or other negative emotions. These emotions may adversely affect the mother's lactation behavior and mental health, negatively influence the mother-child relationship
Dysphoric milk ejection reflect (D-MER) is a dysphoria which women may experience within seconds of commencing breastfeeding. It is only recently gaining recognition in the academic literature and may have important implications for breastfeeding continuation, differential diagnosis and perinatal mental health. This perspective piece introduces the topic, sets out the physiological processes underpinning the experience and outlines why increased awareness of D-MER is important for the profession of mental health nursing.
Breastfeeding has many health benefits. The guidelines recommend breastfeeding up to 6 months of age. Many mothers stop breastfeeding early, one reason being the dysphoric ejection reflex (D-MER). It is a negative emotional reaction related to the ejection of milk.
Lori Jill Isenstadt, IBCLC is a huge breastfeeding supporter. She has spent much of her adult life working in the maternal health field. Once she became turned on to birth and became a childbirth educator, there was no stopping her love of working with families during their childbearing years. Lori became a Birth doula and a Postpartum doula and soon became a lactation consultant. She has been helping moms and babies with breastfeeding for over 25 years. Lori founded her private practice, All About Breastfeeding where she meets with moms one on one to help solve their breastfeeding challenges. She is an international speaker, book author and the host of the popular itunes podcast, All About Breastfeeding, the place where the girls hang out. You can reach Lori by email at: firstname.lastname@example.org or contact her via her website: allaboutbreastfeeding.biz/contact
Alyssa Schnell, has been helping parents and babies with breastfeeding since 2002 and has been accredited as an International Board Certified Lactation Consultant (IBCLC) since 2009. Alyssa is a conference speaker and author of Breastfeeding Without Birthing: A Breastfeeding Guide for Mothers Through Adoption, Surrogacy, and Other Special Circumstances. She has also been featured in the Journal of Human Lactation, the Journal of Clinical Lactation, The Washington Post, Adoptive Families magazine, and New Beginnings magazine. Alyssa is the proud mother of three breastfed children, two by birth and one by adoption. She enjoys reading, sewing, yoga, and theater. Alyssa lives in St. Louis.
Marie Biancuzzo started helping mothers, babies and families to succeed at breastfeeding more than thirty years ago. Fondly remembered for decades by mothers, she earned their trust by helping them to cut through the misinformation, bust the myths, and believe in themselves. Among her peers, Marie has received international recognition as a clinical expert, book author, and national-level change agent. She was a founding member of the United States Breastfeeding Committee, the past president of Baby-Friendly USA, and the founding editor of Nursing for Women’s Health. Marie has both depth and breadth of expertise from having worked in community and teaching hospitals, with mothers and health care providers, in nearly all subspecialties of maternal infant health. From the mother’s hospital bedside to the university classroom, Marie has honed her skills at helping people be good consumers of health care information. A native of the Rochester, New York area, Marie now resides in the Washington DC area but crisscrosses the country as Director of Breastfeeding Outlook, the education company she founded in 1998. Through her courses and seminars, Marie works to help nurses and other professionals learn how to help families with breastfeeding and related perinatal topics. Recognized for her warmth and personable teaching style, Marie continues to provide direct assistance to mothers, as well. Marie writes weekly for her blog, Marie’s Outlook.
DIANNE CASSIDY is a lactation consultant in Rochester, New York. She became interested in the field of lactation consulting after breastfeeding her own children. After spending thousands of hours working with new mothers and babies, she was able to sit for the board exam, which qualified her as an International Board Certified Lactation Consultant, or IBCLC. In 2010, She completed her Advanced Lactation certification and BS in Maternal Child Health/Lactation. In the fall of 2013, she completed my MA in Health and Wellness/Lactation.
Barbara Robertson, IBCLC, is the owner of The Breastfeeding Center of Ann Arbor. Barbara decided in 2008 to open The Breastfeeding Center of Ann Arbor so mothers would have one place to go to have all of their breastfeeding questions answered and all of their needs met because that's what she needed. Barbara has been involved in education for over 24 years. She received a Bachelors degree in Elementary Education in 1988 and her Masters in Education in 1995. Barbara left teaching elementary students in 1995 to raise her two children. Her children spurred her to become involved in La Leche League and, in 1998, she became a La Leche Leader. She enjoyed this work so much that she decided to sit for the International Lactation Consultant Exam and became a board-certified lactation consultant. Barbara is the Director of The Breastfeeding Center of Ann Arbor, on-site at the Center for the Childbearing Year.
Each week, Liz Carlile interviews revolutionary authors, doctors, entrepreneurs, athletes, actors, life coaches, and spiritual gurus. As experts in their perspective fields, each guest is asked to share key insights from their unique life experience and provide golden takeaways so that you can live your best life. Through Liz's candid conversations with this diverse group of guests, she's discovered that to truly be happy, we need to be PRESENT. Your journey to feeling happier, more driven, and blissfully present in your own life, starts right now.
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THIS is Legit Motherhood is all about real and raw motherhood. This podcast will open up the world of motherhood to those who are soon to be moms, new moms, and even seasoned moms to all the things that make motherhood hard and chaotic, but also the freakin’ awesome and beautiful parts of it too. In episode 15 Emily talks about her two very different experiences with breastfeeding. She opens up about the beautiful part every mom anticipates, but also how breastfeeding was hard when she realized she was struggle with D-MER (Dysphoric Milk Ejection Reflex).
There's more to postpartum mental health than "baby blues." These lesser-known challenges may not get as much attention as postpartum depression, but they're no less real to new moms who experience them.
It's referred to as 'breastfeeding's best kept secret'. A condition I didn't know existed until I found myself hit with a sense of crippling dread every time I breastfed my child. One frantic google search and a trip to my OB led me to a diagnosis for a condition that is as common as it is unknown. In this episode I discuss my own experience with 'dysphoric milk ejection reflex' and speak to Alia Macrina Heise who has led the way in researching and educating women on the topic for nearly 20 years.
Did you feel anxiety, irritation, sadness, or depression when you pumped/breastfed? Is this maybe even the reason you stopped? If so, you might have had D-MER – something I have firsthand experience with.
Dysphoric Milk Ejection Reflex (D-MER) is a condition affecting lactating women that is characterized by an abrupt dysphoria, or negative emotions, that occur just before milk release.
D-MER is a condition that can affect some women who are breastfeeding. It causes dysphoria, or a state of feeling unhappy, right before your letdown. These feelings don’t last more than a few minutes, but can be difficult to manage. It is said that D-MER is caused by the drop in dopamine that occurs during letdown.
Lo is a wife, mama to 3 and an RN in Denver,CO who has spent her career in L+D and PPM nursing. She is passionate about all things maternal and fetal health, as well as ensuring that women know that they have a voice and they are allowed to use it in these seasons!
Zion has found the past five months of breastfeeding to be quite challenging and she admits it still isn’t easy. Attachment issues at the beginning have resolved but Zion was recently diagnosed with dysphoric milk ejection reflex (D-MER) where she gets either anxious, sad, depressed or moody when she has a let down. It’s ultimately a chemical reaction to the let down reflex and while she says it’s challenging, she also often forgets she has it.
Dysphoric Milk Ejection Reflex (D-MER) is a condition affecting lactating women, characterized by abrupt episodes of dysphoria, or negative emotions, occurring just before milk let down. Alia Macrina Heise, a lactation specialist, identified D-MER in 2007 after experiencing symptoms personally while breastfeeding her third child.
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The Birth Hour is not only a place for sharing birth stories but also pregnancy and postpartum struggles, triumphs and resources. The Birth Hour’s signature online childbirth course, Know Your Options, is the #1 evidence-based online course to prepare you for childbirth, postpartum and breastfeeding.
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D-MER (Dysphoric Milk Ejection Reflex) with Morgan Hedley, CLES Morgan Hedley is Lactation Specialist, Postpartum Wellness Advocate and mother of two young boys. After the birth of her first son, and her own experience with breastfeeding, she felt compelled to leave her decade long career in fashion and return to […] The post 70: D-MER (Dysphoric Milk Ejection Reflex) with Morgan Hedley, CLES appeared first on Growing Our Family Podcasts.
Labor and Delivery Nurse Lo Mansfield RN and founder of The Labor Mama tells her vulnerable story of postpartum anxiety and her journey with Dysphoric Milk Ejection Reflex (DMER).
Postnatal depression affects up to one in seven new mums and one in 10 new dads in Australia and it's a subject very close to our host's hearts.
Today Leigh and Tegan open up about their very different experiences with PND.
And we speak to one of America's most trusted pediatricians, DR Harvey Karp, about the causes and different signs of PND.
DMER or Dysphoric Milk Ejection Reflex is a rare condition of feeling melancholy moments after a mother's milk lets down. It is a silent struggle, that more and more mothers are dealing with on a daily basis. What was once thought of as a serious bout of baby blues, has a significant medical reason behind the negative emotions. Danielle is shining some light on the secret stealer, sharing her own story of battling DMER and what you can do to break the cycle and get onto the road of healing.
Table of Contents:
0:55 Introducing D-MER
1:20 Why We Care About Mental Health
5:50 So What Is D-MER anyway?
8:30 Talking to Your Provider About This
10:30 Treatment Options
13:15 Comments From Our Group
16:40 You’re Not Alone!
This is a short explanation of why a woman might feel sad or homesick just before breastfeeding their baby. This is not a psychological condition, but a physiological one. It might help a mum to know why this happens, and that she’s not alone!
You may think that postpartum depression covers all aspects of perinatal mental health issues that new mothers face. The fact is that there are other kinds of mood changes, some that are talked about and some that are relatively unknown and uncommon. Today’s show focuses on one specific problem that some mothers experience: it’s called D-Mer, which stands for Dysphoric Milk Ejection Reflex.
Co-hosts Anne Eglash MD and Karen Bodnar MD discuss the dysphoric milk ejection reflex, and effect of frenotomy on breast pain
How Alicia’s pregnancy and birth did NOT turn out like she wanted and expected–and only heightened her health anxiety
How Alicia experienced D-MER (dysphoric milk ejection reflex) and tongue, lip, and buckle ties with her newborn
Why she had bonding issues with her baby as the massive snowball of anxiety, D-MER, and diastasis hit her
How things came to a head with feelings of hopelessness, loneliness, and a life with no joy
How a PSI Climb Out Of the Darkness Walk helped Alicia to see the light at the end of the tunnel
Dysphoric Milk Ejection Reflex (DMER) is a condition affecting lactating women that is characterized by an abrupt dysphoria, or negative emotions, that occur just before milk release and continuing not more than a few minutes. D-MER has nothing to do with nipple contact or with irritation with the sensation of nipple tugging. You do not even have to be thinking about breastfeeding. (for example with spontaneous letdowns) for the dysphoria to happen when a milk
release is triggered.
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