The book on dysphoric milk ejection reflex

About the D-MER Book

Before the Letdown: Dysphoric Milk Ejection Reflex and the Breastfeeding Mother

D-MER.org benifits more from sales directly from this website, however, a paperback version of the book is available on Amazon. And the book can also be found on Apple's iBooks.


An excerpt of the book can be found on the D-MER.org blog.


The table of contents can also be viewed at this link.

Who is the Book For?

Before The Letdown is eleven chapters (237 pages) of information for mothers looking for support and understanding, for care providers who want to know how to best support their patients and for partners and family members who want to know how to best support a mother with D-MER. Dysphoric milk ejection treatment options and suggestions for D-MER treatment are included with appropriate references. There is also a chapter that includes mother's personal stories. Learn what can make D-MER worse and learn answers to the most commonly asked questions about dysphoric milk ejection reflex.


The book is written by Alia Macrina Heise, IBCLC who has been the forerunner in discovering and identifying D-MER since 2007. It includes a preface by internationally renowned lactation author and presenter, Diane Wiessinger, MS, IBCLC and is edited by Dr. Marcelina Watkinson, DClinPsy who did the first qualitative research study on D-MER.


What People Are Saying About It

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