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Understanding Dysphoric Milk Ejection Reflex

by Alia Macrina Heise, IBCLC, CLE, CPD
  • Duration: 60 Mins
  • Credits: 1 CERP, 1 L-CERP
  • Learning Format: Webinar
  • Handout: Yes
  • Origin: GOLD Lactation 2013

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.

Learning Objectives:

Objective 1: Understand how D-MER presents differently from postpartum mood disorders
Objective 2: Describe the basic mechanisms of D-MER
Objective 3: Understand the use of various D-MER treatments and management techniques Realize that the investigation of D-MER is incomplete as well as see the need for further overall education and recognition of the condition

Presentations: 19  |  Hours / CE Credits: 15  |  Viewing Time: 8 Weeks