{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T07:32:37Z","timestamp":1750404757514,"version":"3.38.0"},"reference-count":14,"publisher":"Walter de Gruyter GmbH","issue":"2","license":[{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2024-0299_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To determine Dysphoric Milk Ejection Reflex (DMER) incidence. Secondary objectives were to describe the symptom profiles and patient characteristics of DMER and assess DMER familiarity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2024-0299_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective observational study of people who initiated breastfeeding after delivery between December 2022 and May 2023\u202fat two hospitals in New York. Participants filled out an Initial Survey, assessing prior DMER familiarity, and recurring DMER Symptoms Surveys, assessing symptom presence, severity, and transiency. Medical records were reviewed for patient demographics and clinical history. Descriptive and basic inferential statistics were performed. A p&lt;0.05 was considered statistically significant.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2024-0299_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Based on the DMER definition utilized, incidence was 26.9\u202f% (n=21), and symptom severity was mostly very mild to moderate. Those with DMER had similar baseline characteristics to those without, apart from a significantly higher rate of having delivered via cesarean section (71.4.0 vs. 33.3\u202f%, p&lt;0.01). Among the 55 patients who completed the initial survey, 61.8\u202f% were unfamiliar with the condition.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2024-0299_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>DMER is described as brief, abrupt, negative emotions experienced by breastfeeding individuals prior to milk letdown. We found that more than 1 in 4 participants screened positive. Future research could better define, quantify, qualify, and publicize this condition to inform clinical practices and facilitate successful breastfeeding relationships.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2024-0299","type":"journal-article","created":{"date-parts":[[2024,11,30]],"date-time":"2024-11-30T03:21:01Z","timestamp":1732936861000},"page":"258-261","source":"Crossref","is-referenced-by-count":2,"title":["Incidence and awareness of dysphoric milk ejection reflex (DMER)"],"prefix":"10.1515","volume":"53","author":[{"given":"Rachel L.","family":"Solmonovich","sequence":"first","affiliation":[{"name":"Northwell , New Hyde Park , NY , USA"},{"name":"Department of Obstetrics and Gynecology , South Shore University Hospital , Bay Shore , NY , USA"},{"name":"Zucker School of Medicine , Hempstead , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Insaf","family":"Kouba","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine , Johns Hopkins All Children\u2019s Hospital , Saint Petersburg , FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Bailey","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , Huntington Hospital , Huntington , NY , USA"},{"name":"IBCLC Northwell , New Hyde Park , NY , USA"},{"name":"Zucker School of Medicine at Hofstra\/Northwell , Hempstead , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendi","family":"Andria","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , South Shore University Hospital , Bay Shore , NY , USA"},{"name":"IBCLC Northwell , New Hyde Park , NY , USA"},{"name":"Zucker School of Medicine at Hofstra\/Northwell , Hempstead , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Demertzis","sequence":"additional","affiliation":[{"name":"Northwell , New Hyde Park , NY , USA"},{"name":"Department of Obstetrics and Gynecology , South Shore University Hospital , Bay Shore , NY , USA"},{"name":"Zucker School of Medicine at Hofstra\/Northwell , Hempstead , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Blitz","sequence":"additional","affiliation":[{"name":"Northwell , New Hyde Park , NY , USA"},{"name":"Department of Obstetrics and Gynecology , South Shore University Hospital , Bay Shore , NY , USA"},{"name":"Zucker School of Medicine , Hempstead , NY , USA"},{"name":"Institute of Health Systems Science, Feinstein Institutes for Medical Research, Northwell Health , Manhasset , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jolene","family":"Muscat","sequence":"additional","affiliation":[{"name":"Northwell , New Hyde Park , NY , USA"},{"name":"Department of Obstetrics and Gynecology , South Shore University Hospital , Bay Shore , NY , USA"},{"name":"Zucker School of Medicine at Hofstra\/Northwell , Hempstead , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2024,12,2]]},"reference":[{"unstructured":"Prevention CfDCa. 2023;Pages https:\/\/www.cdc.gov\/breastfeeding\/about-breastfeeding\/why-it-matters.html on 04\/15\/2024.","key":"2025031310143185419_j_jpm-2024-0299_ref_001"},{"doi-asserted-by":"crossref","unstructured":"Heise, MA, Wiessinger, D. 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Dysphoric milk ejection reflex: a descriptive study. Breastfeed Med 2019;14:666\u201373. https:\/\/doi.org\/10.1089\/bfm.2019.0091.","key":"2025031310143185419_j_jpm-2024-0299_ref_007","DOI":"10.1089\/bfm.2019.0091"},{"doi-asserted-by":"crossref","unstructured":"Deif, R, Burch, ME, Azar, J, Yonis, N, Gabal, AM, Kramani, EN, et al. Dysphoric milk ejection reflex: the psychoneurobiology of the breastfeeding experience. Frontiers in Global Women\u2019s Health. 2021;2. https:\/\/doi.org\/10.3389\/fgwh.2021.669826.","key":"2025031310143185419_j_jpm-2024-0299_ref_008","DOI":"10.3389\/fgwh.2021.669826"},{"doi-asserted-by":"crossref","unstructured":"Uvnas-Moberg, K, Kendall-Tackett, K. The mystery of D-MER: what can hormonal research tell us about dysphoric milk-ejection reflex? 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