Kacır Aybüke, Karabayir Nalan, Karademir Ferhat, Başıbüyük Mine, Öcal Özlem, Büke Övgü, Bilgin Demet Deniz
Social Pediatrics PhD Programme, Faculty of Medicine, Istanbul Medipol University, Fatih, Turkey.
Pediatrics Department, International School of Medicine, Istanbul Medipol University, Fatih, Turkey.
Breastfeed Med. 2024 Jul;19(7):547-553. doi: 10.1089/bfm.2024.0055. Epub 2024 Apr 22.
Postpartum mental health, significantly influences breastfeeding. Dysphoric milk ejection reflex (D-MER) is defined as negative emotional reaction to milk ejection, such as unpleasant feelings, anger-irritability or a strange feeling in the stomach. This study investigates the impacts of D-MER on mothers experiencing negative emotions during breastfeeding. This cross-sectional, descriptive study was conducted between July 1 and September 30, 2023 among surveyed mothers with babies of ages 0-2 experiencing discomfort while breastfeeding. Mothers reached out through Instagram and Facebook and completed a semi-structured 45-question survey using a Google form. Out of 141 mothers, 27.7% (: 39) had D-MER findings. Common emotions included tension (48%), exhaustion (43%), intolerance (41%), hypersensitivity (35%), and restlessness (33%). Symptoms reported to begin within the first month of breastfeeding in 59% of D-MER cases. Nausea was reported in 30% of mothers. The most common conditions that increased the severity of D-MER symptoms were insomnia, stress and breast fullness. Sleeping or resting, being alone, doing something else, drinking cold water, listening to music and talking to mothers who had similar experiences helped the mothers relax. In cases with D-MER findings, about 17.9% considered stopping breastfeeding, with 7.7% stopping. The postpartum depression score was ≥13 in 59% of D-MER cases. D-MER, which can cause early cessation of breastfeeding, may also be associated with the mother's mental health problems. Raising awareness about D-MER and equipping health professionals on this subject are important in the continuity of breastfeeding.
产后心理健康对母乳喂养有重大影响。烦躁性射乳反射（D-MER）被定义为对射乳产生的负面情绪反应，如不愉快的感觉、愤怒易怒或胃部有奇怪的感觉。本研究调查了D-MER对母乳喂养期间经历负面情绪的母亲的影响。这项横断面描述性研究于2023年7月1日至9月30日在年龄为0至2岁、母乳喂养时感到不适的被调查母亲中进行。母亲们通过Instagram和Facebook联系并使用谷歌表单完成了一份包含45个问题的半结构化调查问卷。在141位母亲中，27.7%（即39位）有D-MER表现。常见情绪包括紧张（48%）、疲惫（43%）、不耐受（41%）、过敏（35%）和烦躁不安（33%）。在59%的D-MER病例中，症状报告在母乳喂养的第一个月内开始出现。30%的母亲报告有恶心症状。增加D-MER症状严重程度的最常见情况是失眠、压力和乳房胀满。睡觉或休息、独处、做其他事情、喝冷水、听音乐以及与有类似经历的母亲交谈有助于母亲放松。在有D-MER表现的病例中，约17.9%的母亲考虑停止母乳喂养，其中7.7%的母亲停止了母乳喂养。在59%的D-MER病例中，产后抑郁评分≥13。D-MER可能导致母乳喂养提前终止，也可能与母亲的心理健康问题有关。提高对D-MER的认识并让卫生专业人员了解这一主题对于母乳喂养的持续进行很重要。
