The mediating effects of parenting self-efficacy between readiness for hospital discharge and post-discharge coping difficulty among mothers of preterm infants DOI Creative Commons

Yarui Zhao,

Jin Liu, Minmin Li

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Aug. 21, 2024

Post-discharge coping difficulty presents a significant challenge for mothers of preterm infants. The readiness hospital discharge and parenting self-efficacy are crucial factors influencing post-discharge difficulty. However, the pathways through which these impact remain unclear. This study aims to investigate on mediating role among A prospective involving 462 infants from six tertiary hospitals in Shandong Province was conducted. Mothers were evaluated day (using Baseline characteristics Readiness Hospital Discharge Scale) three weeks (utilizing Parenting Sense Competence Scale-Efficacy subscale Post-Discharge Coping Difficulty Scale). Structural equation modeling employed analyze effect. results this revealed that significantly decreased (β = - 0.533, P < 0.001), also reduced 0.419, 0.001). Furthermore, partially mediated relationship between difficulty, accounting 25.35% total reported moderate level In assisting premature alleviate nurses could implement strategies focused enhancing self-efficacy.

Language: Английский

Dysphoric milk ejection reflex among Japanese mothers: a self-administered survey DOI Creative Commons

Yukako Moriyama,

Yuko Nakao,

Naoko Yamamoto

et al.

International Breastfeeding Journal, Journal Year: 2024, Volume and Issue: 19(1)

Published: March 27, 2024

Abstract Background The dysphoric milk ejection reflex (D-MER) is a that causes temporary discomfort during ejection. D-MER develops due to the effects of hormones involved in lactation, and it has been reported physiological symptom different from postpartum depression, but actual situation unknown Japan. Methods This study was conducted using self-administered, anonymous survey mothers children who had undergone health checkups at three years age five centers Kagoshima city aimed clarify reality perceptions regarding D-MER. period May September, 2022. questionnaires were distributed 389 mothers, 216 (55.5% recovery rate) responses received, which 202 (valid response rate 93.5%) included analysis. Results Regarding experience D-MER, population given birth total 403 experienced when breastfeeding 62 (15.4%). Of analysis, 47 (23.3%) answered they with least one child while breastfeeding. Sixty-six (32.7%) knew about Compared those not significantly higher scores on items related having trouble (odds ratio (OR]: 3.78; 95% confidence interval (CI]: 1.57, 9.09) knowing (OR 2.41; CI 1.20, 4.84). symptoms, irritability ( n = 24, 51.1%), anxiety 22, 46.8%), sadness 18, 38.3%) ranked high. Coping strategies distraction, focusing child, and, some cases, cessation Thirty (63.8%) did consult anyone, citing reasons such as belief no would be likely understand their could sufficiently explain symptoms. Conclusion low level awareness suggests necessary inform educate public symptoms Moreover, listen feelings support them coping

Language: Английский

Citations

8
Dysphoric Milk Ejection Reflex in Human Lactation: An Integrative Literature Review DOI
Stephanie Lynn Herr, Jessica Devido,

Richard Zoucha

et al.

Journal of Human Lactation, Journal Year: 2024, Volume and Issue: 40(2), P. 237 - 247

Published: Feb. 22, 2024

Background: Dysphoric Milk Ejection Reflex is an understudied condition of lactation involving emotional dysregulation during letdown or milk ejection. Affected individuals may experience transient feelings helplessness, melancholy, and general unhappiness. Research Aim: To evaluate the scope published literature on Reflex. Method: Whittemore Knafl’s methodology guided this integrative review. Five databases were searched for primary research, summaries, editorials in lactating individuals. Literature also included websites, pamphlets, conference proceedings via Google Scholar. A total 11 articles, from five different countries, met inclusion criteria Results: Studies negative sensations synthesized under conceptual umbrellas: (1) Experiences, Sensations, Symptom Management; (2) Biological Underpinnings; (3) Influence Maternal Role Breastfeeding Self-Efficacy; (4) Support, Understanding, Awareness; (5) Reduction Cessation Breastfeeding. Conclusion: a neurobiological characterized by low mood ejection throughout lactation. linked to maternal psychological distress breastfeeding discontinuation. Priority areas future research include biological origins interventions aimed at prevention, symptom control, greater awareness more international scope.

Language: Английский

Citations

7
Impact of Dysphoric Milk Ejection Reflex on Mental Health DOI
Aybüke Kaçır, Nalan Karabayır, Ferhat Karademir

et al.

Breastfeeding Medicine, Journal Year: 2024, Volume and Issue: 19(7), P. 547 - 553

Published: July 1, 2024

Postpartum mental health, significantly influences breastfeeding. Dysphoric milk ejection reflex (D-MER) is defined as negative emotional reaction to ejection, such unpleasant feelings, anger-irritability or a strange feeling in the stomach. This study investigates impacts of D-MER on mothers experiencing emotions during

Language: Английский

Citations

6
Dysphoric milk ejection reflex – call for future trials DOI
Marium Ahmed, Amina Mahmud, Sanila Mughal

et al.

Archives of Gynecology and Obstetrics, Journal Year: 2024, Volume and Issue: 310(1), P. 627 - 630

Published: April 27, 2024

Language: Английский

Citations

5
Factors Associated with the Breastfeeding Aversion Response DOI
Berrak Mızrak Şahin

Breastfeeding Medicine, Journal Year: 2025, Volume and Issue: 20(2), P. 118 - 125

Published: Jan. 21, 2025

Background: The breastfeeding aversion response (BAR) is defined as the compulsion to remove baby from breast in negative physical sensations experienced during breastfeeding. This phenomenon characterized by involuntary and overwhelming feelings of disgust that arise or at various stages process. Objectives: aim study evaluate frequency BAR affecting factors mothers with experience Türkiye. Methods: survey was conducted online using Google Forms® tool, accessible November 2, 2023, January 5, 2024. A total 1,046 were included research. Results: 9.8% (n = 103) participating stated they BAR. Fatigue (23.3%), a toddler (19.4%), pain (18.4%) most frequently reported risk for rate higher among working (p 0.037), those lacking spousal support 0.001), diagnosed postpartum depression 0.009), encountering problems 0.007). Conclusion: Further research on trigger BAR, its severity, what symptoms it may cause provide guidance how midwives nurses can these mothers, prevent possible treatment options. findings our revealed especially affected psychological processes. For this reason, recommended approach period holistic also includes sociocultural processes rather than solely physiological perspective.

Language: Английский

Citations

0
Dysphoric Milk Ejection Reflex: Prevalence, persistence, and implications DOI Creative Commons

Romy Cappenberg,

Jesus Garcia Garcia,

Ioannis Liolios

et al.

European Journal of Obstetrics & Gynecology and Reproductive Biology, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

Language: Английский

Citations

0
Negative emotional experiences of breastfeeding and the milk ejection reflex: a scoping review DOI Creative Commons
Charlotte Middleton, Elaine C. Lee, Alison McFadden

et al.

International Breastfeeding Journal, Journal Year: 2025, Volume and Issue: 20(1)

Published: March 5, 2025

Breastfeeding aversion response (BAR)and dysphoric milk ejection reflex (D-MER) are two examples of breastfeeding phenomena which present as negative emotional experiences and lactation but considered physiological in origin. D-MER presents a sudden onset dysphoria prior to during ejection. BAR refers unpleasant feelings physical sensations breastfeeding. Research suggests both distinct from perinatal mood disorders. As awareness is limited, this scoping review extended beyond the terms describe nature, extent range literature relating reflex. The aim was capture concepts, knowledge BAR. This followed standard methodology. Medline, CINAHL, MIDIRS, British Nursing Index, PsychInfo, EBSCO, EMBASE, Cochrane Database Systematic Reviews, Web Science, Google, Google Scholar, Open Grey, EThOS PROSPERO were originally searched between March July 2020 April 2024, using predetermined keywords. After removing duplicates, records screened for eligibility. Data charted, then summarised synthesised numerical thematic analysis. In total, 116 academic grey included five main themes identified. associated with emotions impact Awareness thus, understanding better important helping women achieve their personal goals. identified wide described nature episodes, suggested causes phenomena, on women's lives, strategies use cope possible prevalence rates. Many health professionals remain unaware BAR, so support provided may be inappropriate or inadequate. Much remains unknown about further research indicated.

Language: Английский

Citations

0
Dysphoric Milk Release Reflex as A Problem in Breastfeeding Women DOI Creative Commons
Ayşe İrem Gökçek, Neslihan Keser Özcan

Journal of Midwifery and Health Sciences, Journal Year: 2025, Volume and Issue: 8(1), P. 76 - 80

Published: March 25, 2025

Although breastfeeding is extremely beneficial to the health of women and infants, rates are not at desired levels. The literature includes medical physical difficulties that can lead early discontinuation breastfeeding. However, studies examining impact women's emotional experiences on process rather limited. Dysphoric milk release reflex (DMER) characterised by dysphoria occurs during lasts for several minutes. Symptoms include sudden unpleasant feelings anxiety, sadness, irritability or panic. exact cause DMER known. Studies suggest drop in dopamine start lactation causes a short-term deficiency women, which dysphoria. It known experiencing have negative towards due uncomfortable feelings, some may stop feel compelled continue because this discomfort. there no medically proven treatment, it has been suggested various non-pharmacological methods such as distraction, lifestyle changes, music aromatherapy be effective. As only recently recognised, aim review present current DMER.

Language: Английский

Citations

0
Dysphoric Milk Ejection Reflex DOI

Rachel LeMalefant,

Drew Myers,

Lindsay G. Lebin

et al.

Advances in Psychiatry and Behavioral Health, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Language: Английский

Citations

0
Dysphoric Milk Ejection Reflex (D-MER): A Novel Neuroendocrine Condition with Psychiatric Manifestations DOI
Barbara Schildkrout,

Lindsey MacGillivray,

Shreya Raj

et al.

Harvard Review of Psychiatry, Journal Year: 2024, Volume and Issue: 32(4), P. 133 - 139

Published: July 1, 2024

• Describe how the symptoms of dysphoric milk ejection reflex (D-MER) affect nursing patients.• Discuss physicians, psychologists, and clinicians can support their patients experiencing D-MER.

Language: Английский

Citations

2