GOLD Learning Speakers


Alia Macrina Heise, IBCLC, CLE, CPD

  • Speaker Type: GOLD Lactation 2013
  • Country: USA

Alia Macrina Heise is a former sufferer of Dysphoric Milk Ejection Reflex and, despite initial resistance from sceptical care providers, she spearheaded the initial investigation of the phenomenon of D-MER.  In this regard, she has been called “the girl who talks until somebody listens.”  She lives in the Fingers Lakes region of New York State with her three children.  Alia is a homeschooling mother and is an independent curriculum contributor for Peace Hill Press.  As well as educating others about Dysphoric Milk Ejection Reflex, she is in private practice as an IBCLC.



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Understanding Dysphoric Milk Ejection Reflex
D-MER - Dysphoric Milk Ejection Reflex - is not a new phenomenon. In the past, it was almost like Voldemort, the Problem That Must Not Be Named. But now it has been named and brought into daylight, and an understanding of the details of the mechanism and a sustainable solution are newly being sought. Mothers with D-MER feel, as a reflexive response with every single milk release, a wave of negative emotions ranging (depending on severity) from homesickness to hopelessness and despair, perhaps even anger and suicidal ideation. These emotions dissipate shortly after milk release and re occur with the start of every MER, whether with breastfeeding, expressing or with spontaneous releases. Most sufferers kept the problem to themselves preferring the weaning of their baby to being incorrectly labeled as depressed or victims of abuse. Most were convinced the problem was hormonal - and it is. In this PowerPoint presentation I discuss the various manifestations of the D-MER spectrum and how we can help mothers.
Hours / CE Credits: 1 (details)  |  Categories: Breastfeeding and Lactation, Compassion Strategies