This 60 minute presentation delivers the needed information to begin to understand D-MER. The information provided will explain and define what D-MER is and what it is not. It will distinguish how D-MER presents and it’s variances.
Furthermore, the presentation will offer the current hypothesis about the possible mechanism of D-MER and suggested treatments through exploring what hinders and helps and mother’s experience.
Additionally, information will be provided that describes how to recognize a mother with D-MER and the recommended clinical tools for supporting a mother with D-MER.
Dysphoric milk ejection reflex (D-MER), is not a new phenomenon. In the past, it was almost like Voldemort, the Problem That Must Not Be Named. But for over 10 years now, it has had a name and been brought into daylight. Though still not widely known or understood by many, the hypothesis of the mechanism and possible sustainable solutions are becoming better documented all the time. D-MER has been the subject of two case studies, one case series, a qualitative research study and a thesis project. Other studies as also in process at this time.
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 reoccur with the start of every MER, whether with breastfeeding, expressing or with spontaneous releases. Many sufferers keep the problem to themselves preferring the weaning of their baby to being incorrectly labeled as depressed or victims of abuse. Upon experiencing D-MER mothers are initially convinced the problem is physiological and not psychological, and they are correct.
As both a lactation consultant and a sufferer of D-MER, I first named and identified D-MER over 10 years ago. Now, through the case studies that have been done, collaboration with other medical and breastfeeding care providers, and the collection of information from the anecdotal reports from over 1,300 mothers, there is now a foundation of understanding of D-MER. Though the evidence base for the mechanism of D-MER is still mainly unestablished at this time, there are many professionals always working to bring evidence-based information to the study of human lactation. This is exactly what the slow work and understanding of D-MER is about; the process of bringing new information into the light for further research and understanding.