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Breastfeed Med. 2018 Jan/Feb;13(1):85-88. doi: 10.1089/bfm.2017.0086. Epub 2017 Nov 8.

Dysphoric Milk Ejection Reflex: A Case Series.

Author information

1
1 Department of Nursing-Maternal Child Health, Womack Army Medical Center , Fort Bragg, North Carolina.
2
2 Department of Obstetrics/Gynecology, Womack Army Medical Center , Fort Bragg, North Carolina.
3
3 Nursing-Center for Nursing Science and Clinical Inquiry, Womack Army Medical Center , Fort Bragg, North Carolina.
4
4 Department of Clinical Investigation, Womack Army Medical Center , Fort Bragg, North Carolina.

Abstract

BACKGROUND:

Dysphoric milk ejection reflex (D-MER) is characterized by an abrupt dysphoria, or undesirable feeling that occurs with the MER and continues for no more than a few minutes. After milk ejection, the dysphoria vanishes.

CASE SERIES:

This case series provides a report of three women who have experienced D-MER. All three women described the sudden onset of negative feelings at the initiation of each breastfeeding session. The dysphoria vanished after each milk ejection.

DISCUSSION:

Literature on D-MER is limited to one published qualitative research study and two published case reports. As a result, lactation professionals and other providers in the healthcare setting rarely recognize this condition.

CONCLUSIONS:

The case studies presented here provide evidence for the presence of D-MER. Research is needed to better understand its pathophysiology, incidence, and treatment options.

KEYWORDS:

dopamine; dysphoric milk ejection reflex; milk ejection reflex; postpartum depression

PMID:
29115857
DOI:
10.1089/bfm.2017.0086
[Indexed for MEDLINE]

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