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Subject:
From:
Mary Jozwiak IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 8 Oct 2000 01:11:07 -0400
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I am working with a woman who has had a bizarre reaction to her ejection
reflex while nursing both of her children. About 5 seconds after the child
goes to breast she becomes anxious, then the feeling progresses to what she
describes as "almost anger" and says she often feels like she wants to run.
As soon as the milk ejects the feelings subside and do not seem to recur
with subsequent ejections in the same nursing session. This happened with
her first child who is two, disappeared while she was pregant tho the child
was still nursing, then started happening after the birth of the second
child again. She is currently tandem nursing both children.

She denies any other symtoms of PPD or hx of depression or anxiety. This
symptom causes her much distress, she appears very caring and patient with
her children.

My assumption is that it is a paradoxical reaction to oxytocin as it
subsides as soon as ejection is attained. Also the symtptom decreased
during pregnancy, when often women who are tandem nursing seem to have a
built in resistance to oxy. (ie most pregnant women are not predisposed to
preterm labor even while nursing during pregnancy, the explaination in the
literature is that there is resistance to oxy. Am I assuming too much here?)

Sorry if this is long, but this mother is desperate for an explaination if
not a solution. She asked her MD who simply told her to pray about it.

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