Interesting, I had a very similar case, several years ago. The mother was 
nursing her second child. She had a hx of depression, both postpartum related 
and previous to this. It was suspected she may have been abused as a child. 
She also had OAER. She had these symptoms with her first child, but she felt 
they were more severe with the second. Much more severe. The first child 
was a different gender, as well, I have NO idea if this had an impact on the 
problem or not. 

She described the feeling at MER as "Wanting to throw the baby across the 
room, scream, run out of the house, and never come back." It lasted, as you 
said, about 30 to 90 seconds, at it's peak, starting just before she felt the 
Ejection. As soon as the Ejection was slowing, she calmed again, although 
still "jumpy" for a while afterward. 

I asked, as gently as I could if orgasm caused the same response. She blushed 
and said, "Sometimes." Then told me she often "blanks out" when this 
particular event occurs. (red flags all around, and I know when I am seeing 
something which is beyond MY training and expertise. And when to refer to 
someone with skill and training in these areas.) When asked about childbirth, 
she said she was "one of those women who swears at her husband and 
screams and gets angry" during labor and delivery. It may have been Oxytocin 
related, or something else. The rest of the feeding was much more pleasant, 
after the first Ejection, and she either didn't have strong Ejections after the 
first, or simply didn't experience the feelings. It was very obvious this woman 
needed help ASAP. 

I suggested some therapy and perhaps treatment for PPD. She saw her Family 
doctor, however, suggested that "prayer" was the best treatment. (I am not 
gong to even address this, as this poor woman had PPD, compounded with 
possible harm to her relationship with her baby, as well as maybe his being in 
danger, not simple "sadness" or a crisis of faith.) She then went to 
an "Alternative" healer, and said he was going to treat her. *sigh* As I 
guessed she was told she had "parasites" (no, I don't want to discuss this....) 
and as I guessed that was what was going to be told to her before she told 
me, she gave it second thought. 

Finally, after really fearing for the safety of her child (I found out later) even 
though the "parasites" were being treated, she did, then see a doctor who 
specialized in PPD, and was supportive of breastfeeding during PPD. He placed 
her on an SSRI and she began therapy, and dumped the parasite stuff, which 
was causing such severe diarrhea she was dehydrated on top of everything 
else she was dealing with. In a few weeks she was feeling much better, still 
somewhat uncomfortable with the MER, but not feeling like she was going to 
hurt the baby. In about a month, she was much better. Stopped the antidx, 
and the symptoms returned in about an other month. Expressed fear that she 
might be on "that drug" for a long time, she was consulted to take it one day 
at a time, and to discuss her fears with her therapist. 

She nursed the baby for over a year, and he was still nursing when we lost 
touch. She said that the feelings were nearly gone, she was starting to enjoy 
nursing the baby, after a month of two of treatment and she was "dealing with 
a lot of stuff in therapy." She told me she no longer felt her baby was in any 
danger, but was still worried about the "drugs" and her husband wasn't happy 
about her being in therapy "forever." Lost track of her, but I know she is 
pretty cognizant that she needs help when in the postpartum period, and 
other times, if she were to have any more children. I have heard she has not 
had anymore, through the grapevine. 

(I have HIPPA signed to discuss this, but have changed a few details to 
protect this woman and her children.) 

In this case, therapy, antidx, and time seemed to help the problem. It was one 
of those cases, that although she was a very kind woman, and loved her 
children very much, I was becoming afraid for the children. (And very scared I 
might have to use my Mandated Reporter status.) Her family doctor was of 
little help, and I fear what would have happened if I hadn't been very firm in 
asking her PLEASE to see someone else so she could feel better, and for her 
children, as well. I think tragedy may have been averted by her choosing to do 
so. I think she was aware, most of the time, that this needed treatment, and 
needed serious attention. (As extreme anger was one of the effects during the 
MER.) 

I don't know why this happened, probably a combination of probable abuse, 
strange reaction to Oxytocin Release, and PPD. I don't know if Diane's client 
has the same issue, but the symptoms are very very similar. 

IMO, seeking medical help, while continuing to breastfeed worked for my client. 
I hope Diane's can have a happy outcome, too. 

I have seen a small number of clients who have unpleasant feeling during 
Ejection, nausea, anxiety, ect, but this was the most severe I have ever seen. 
I am very glad she sought the proper treatment, and was able to find peace 
without losing her breastfeeding relationship with her baby. 

Mary Jozwiak IBCLC, RLC, LLLL
Private Practice 

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