International Board of Certified Lactation Consultant (IBCLC) Practice Exam

What is a common emotional reaction associated with D-MER?

1. Indifference during breastfeeding

2. Extreme joy during breastfeeding

3. Negative emotions just before milk ejection

4. Overwhelming happiness with infant attachment

The correct answer is: Negative emotions just before milk ejection

D-MER, or Dysphoric Milk Ejection Reflex, is characterized by a unique emotional reaction that many breastfeeding individuals experience just before the let-down reflex occurs. The correct answer highlights that this condition leads to negative emotions, such as sadness or anxiety, that are often triggered by the physiological response of milk ejection. Understanding this phenomenon is significant for both practitioners and mothers because it underscores the disconnect between the natural physiological process of breastfeeding and the emotional state of the individual. Recognizing that there may be disconcerting feelings associated with what is typically expected to be a positive experience can help provide necessary support and validation. This knowledge allows for appropriate guidance and reassurance to those affected, promoting mental health while breastfeeding. The other emotional responses suggested in other choices, such as joy and happiness during breastfeeding, are contrary to the experiences reported by those with D-MER, who do not experience overwhelming positive feelings in this context. Furthermore, feelings of indifference are not specifically linked to the physiological trigger seen in D-MER, which emphasizes the unique emotional response just before milk ejection itself. Such understanding helps in differentiating D-MER from other emotional experiences related to breastfeeding.