For many new mothers, the breastfeeding journey is a deeply rewarding and bonding experience with their infants. However, some women may encounter challenges that are less commonly discussed, such as Dysphoric Milk Ejection Reflex (D-MER). This condition can significantly impact a mother's emotional well-being during breastfeeding. In this blog post, we'll explore what D-MER is, how it affects mothers, and where to find support.
What is Dysphoric Milk Ejection Reflex (D-MER)?
D-MER is a physiological response that some breastfeeding mothers experience during milk letdown. When the nipples are stimulated (either by baby's mouth, or with a pump) this triggers the release of oxytocin, which causes the milk glands to contract and release milk. This is called a milk ejection reflex, or "let down". For some women this feels like a tingling or itching sensation, although many women experience no altered sensations at all. Women with D-MER, however, may feel sudden and intense dysphoria, sadness, or anxiety just before or during the milk ejection reflex. Although mothers experiencing D-MER may also be experiencing postpartum anxiety (PPA) or postpartum depression (PPD), D-MER differs from PPA/PPD in that these feelings only occur during the milk ejection reflex.
Understanding the Emotional Rollercoaster:
Mothers with D-MER often describe a range of emotions, from mild unease to deep despair, lasting only for the duration of the milk ejection. Some women may also feel a wave of nausea. It's crucial to recognize that D-MER is a physiological response, not a psychological issue or a reflection of a mother's ability to nurture her child. Although these feelings can be alarming or distressing, they are nothing to be ashamed about.
Finding Support and Information:
For mothers grappling with D-MER, it's essential to seek reliable information and support. One valuable resource is the D-MER website (https://d-mer.org/), which provides a wealth of information about the condition, its causes, and coping strategies. The website also offers a supportive community where mothers can share their experiences and connect with others who may be going through similar challenges.
The Role of an IBCLC:
While online resources can be immensely helpful, seeking guidance from a qualified lactation consultant is vital. International Board Certified Lactation Consultants (IBCLCs) are trained professionals who can offer personalized support, guidance, and practical solutions to address breastfeeding challenges, including those related to D-MER.
Conclusion:
Breastfeeding is a unique and personal journey for each mother, and encountering challenges like D-MER can be both unexpected and emotionally taxing. By understanding D-MER, accessing reliable information through resources like the D-MER website, and seeking assistance from an IBCLC, mothers can navigate these challenges with support and confidence. Remember, you are not alone, and there is help available to make your breastfeeding journey as positive and fulfilling as possible.