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Dysphoric milk ejection reflex (D-MER) is a condition in which women who breastfeed develop negative emotions that begin just before the milk ejection reflex and last less than a few minutes. [2] It is different from postpartum depression , breastfeeding aversion response (BAR), [ 1 ] or a dislike of breastfeeding. [ 2 ]
[10]: 18–21 [25] This process is known as the milk ejection reflex, or let-down. [10]: 18–21 Because of oxytocin's dual activity at the breast and the uterus, breastfeeding mothers may also experience uterine cramping at the time of breastfeeding, for the first several days to weeks. [25]
Milk ejection is initiated in the mother's breast by the act of suckling by the baby. The milk ejection reflex (also called let-down reflex) is not always consistent, especially at first. Once a woman is conditioned to nursing, let-down can be triggered by a variety of stimuli, including the sound of any baby.
Breastfeeding difficulties refers to problems that arise from breastfeeding, the feeding of an infant or young child with milk from a woman's breasts.Although babies have a sucking reflex that enables them to suck and swallow milk, and human breast milk is usually the best source of nourishment for human infants, [1] there are circumstances under which breastfeeding can be problematic, or even ...
Overactive let-down (OALD) is the forceful ejection of milk from the breast during breastfeeding. In some women it occurs only with the first let-down in a feeding, occasionally women may have multiple strong letdowns during a feeding. OALD can make breastfeeding difficult and can be the source of some breastfeeding complications. It may also ...
Mary Rose Tully with a 17-day-old patient at UNC Hospital, Chapel Hill, December 8, 2008. Mary Rose Tully MPH IBCLC (29 July 1946 – 20 January 2010) was an American lactation consultant, director of the Department of Lactation Services at the University of North Carolina's Women's Hospital, and an adjunct clinical instructor of pediatrics at the University of North Carolina's School of Medicine.
When the infant suckles or stimulates the nipple, oxytocin levels rise and small muscles in the breast contract, moving the milk through the milk ducts. The result of nipple stimulation by the infant helps to move breast milk out through the ducts and to the nipple. This contraction of milk is called the "let-down reflex". [19]
The Journal of Research in Nursing is a bimonthly peer-reviewed nursing journal that covers the field of nursing. The editors-in-chief are Andree Le May (University of Southampton) and Ann McMahon. The journal was established in 1996 and is published by SAGE Publications.