Hi Carmen,
This has been described in the literature. The latest term for unpleaant 
effects of the let-down (MER) in some women is "dysphoric milk ejection 
reflex" (Lawrence & Lawrence 7th edition, pp. 606-607).  It can manifect as 
nausea, headache, negative emotion (e.g. dread, anxiety, aversion). There is 
a website: http://www.d-mer.org . Some years ago I described a number of 
cases of headaches on let-down or in other ways associated with 
brastfeeding, but this website is probably more appropiate the the current 
needs of your client, and for you to bookmark for future reference.

Virginia
in Brisbnae, QLD, Australia

----- Original Message ----- 
From: "Jensen, Carmen" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, October 11, 2013 9:42 AM
Subject: nausia during milk letdown


I'm wondering if anyone has information on or experience with helping a new 
breastfeeding mom who is experiencing an overwhelming sense of nausea during 
letdown.  It occurs while breastfeeding, and while pumping breasts.  She 
reports it has always been present, though more so over the past week or 
two.  Her babe is approx 1 month old now.  She denies any change to her mood 
during letdown, and would like to continue to breastfeed if this nausea can 
be resolved, but has recently begun to decrease the frequency she 
breastfeeds and has introduced formula.
Any guidance would be appreciated.
Thanks!
Carmen

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