How do you treat dysphoric milk ejection reflex?

Understanding Dysphoric Milk Ejection Reflex (D-MER)
Dysphoric Milk Ejection Reflex (D-MER) is a condition that affects some breastfeeding mothers, characterized by a sudden onset of negative emotions just before the milk ejection reflex occurs. These feelings can range from mild sadness to intense self-loathing, typically lasting only a few minutes. Unlike postpartum depression or breastfeeding aversion, D-MER is primarily a physiological response linked to hormonal changes during breastfeeding.
Treatment Approaches for D-MER
While D-MER can be distressing, there are several strategies that mothers can employ to manage and alleviate its symptoms.
Coping Strategies: One of the most effective ways to handle D-MER is through various coping techniques aimed at promoting relaxation and calming thoughts. These strategies can be particularly beneficial during breastfeeding sessions. Techniques such as deep breathing, mindfulness, and visualization can help mothers create a more positive environment during feeding times.
De-stressing Techniques: Clinicians often recommend de-stressing methods, especially for those who may have experienced stress or trauma, as these factors can exacerbate the symptoms of D-MER. Engaging in calming activities before breastfeeding, such as gentle yoga or meditation, can help prepare the mind and body for the feeding experience.
Medication Options: In some cases, mothers have reported improvements in their symptoms with the use of medications like Wellbutrin (bupropion), which is an antidepressant that can help stabilize mood. However, it is crucial for mothers to consult with healthcare providers before starting any medication to ensure it is safe for both them and their breastfeeding infants.
Support Systems: Building a strong support network can also play a vital role in managing D-MER. Connecting with other mothers who have experienced similar feelings can provide emotional support and practical advice. Online forums and local breastfeeding support groups can be invaluable resources for sharing experiences and coping strategies.
Conclusion
Dysphoric Milk Ejection Reflex is a complex condition that can significantly impact the breastfeeding experience. However, with the right coping strategies, de-stressing techniques, and support, mothers can navigate this challenging aspect of breastfeeding. Understanding that D-MER is a physiological response rather than a psychological issue can empower mothers to seek the help they need and foster a more positive breastfeeding journey.

How do you stop milk ejection reflex?

Gently compress the breast in order to block some milk ducts during letdown. Burp your baby frequently during a feeding in an upright position. Avoid bringing your baby’s legs up to the stomach when burping. Hold your baby upright for 10-20 minutes after feeding.

How common is Dysphoric Milk Ejection Reflex?

Tweetable statement Among 1469 surveyed new mothers, 14% experienced negative emotions with milk let-down, a ‘Dysphoric Milk Ejection Reflex’. Of those, 17% stopped nursing as a result.

How to help dysphoric milk ejection?

Treatment

1. Learn about D-MER.
2. Educate your family about D-MER and ask for their support and encouragement.
3. Get adequate self-care Connect with others who also experience D-MER.
4. Use deep breathing during a let down.
5. Distract yourself so you can ignore the negative emotions when they appear.

Do soft breasts mean low milk supply?

Your breasts feel softer
This happens as your milk supply adjusts to your baby’s needs. The initial breast fullness reduces in the first few weeks. At around 6 weeks, breast fullness is completely gone and your breasts may feel soft. This is completely normal and has no effect on your milk supply.

How can I get my breast milk to flow back?

Re-lactation is typically achieved through a combination of skin-to-skin contact with the baby and breast stimulation either through a latching baby and/or pumping every two to three hours day and night, which mimics how often a baby feeds.

How common is dysphoric milk ejection reflex?

Tweetable statement Among 1469 surveyed new mothers, 14% experienced negative emotions with milk let-down, a ‘Dysphoric Milk Ejection Reflex’. Of those, 17% stopped nursing as a result.

How long does dysphoric milk ejection reflex last?

The symptoms of dysphoric milk ejection reflex can range from mild to severe. They usually begin within a few minutes of breastfeeding, and can last up to 10 minutes.

How to increase milk supply when stressed?

Ways to Maintain or Increase Breast Milk Supply

1. Feeding your baby often to remove milk from your breast which will help to make more breast milk (most babies need to eat every 2 to 3 hours, 8 to 16 times in 24 hours)
2. Latching and positioning your baby well, so it is comfortable for you and safe for your baby.

How to get rid of D-MER?

Some of the most common techniques for managing symptoms of D-MER are:

1. Increase skin-to-skin contact: If you’re breastfeeding, try bringing your baby closer to your body.
2. Practice meditation or deep breathing: Trying to relax is key.

Can anxiety dry up breast milk?

Although stress won’t hamper a mother’s milk supply, it can temporarily reduce oxytocin release, slowing the flow of milk. This is another reason a baby may be unsettled during feeding.