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Understanding Dysphoric Milk Ejection Reflex (D-MER) and Its Impact on Breastfeeding

Writer: Amanda Hahn, APRN
Amanda Hahn, APRN
Dec 26, 2024
1 min read

Updated: Sep 29

Parent breastfeeding a baby, representing D-MER and emotional changes during lactation.

A recent study explored Dysphoric Milk Ejection Reflex (D-MER), a phenomenon that causes negative emotions before milk letdown in breastfeeding mothers. The study found that women with likely D-MER had significantly higher depression scores and lower breastfeeding self-efficacy compared to those without it. D-MER, which typically resolves within a few minutes, affects a small percentage of lactating women but can have a significant impact on mental health and breastfeeding confidence. The findings suggest that women with preexisting mood disorders may be more at risk for experiencing D-MER. Raising awareness of this phenomenon can help better support women during their breastfeeding journey.



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