Defense Date

6-9-2023

Graduation Date

Summer 8-2023

Availability

One-year Embargo

Submission Type

dissertation

Degree Name

PhD

Department

Nursing

School

School of Nursing

Committee Chair

Jessica Devido

Committee Member

Richard Zoucha

Committee Member

Jill Demirci

Keywords

dysphoric milk ejection reflex, lactation, human milk, milk letdown, negative feelings, phenomenology

Abstract

This study sought to explore the lived experiences of Dysphoric Milk Ejection Reflex (D-MER) during postpartum breastfeeding. A phenomenological method based on Giorgi’s phenomenological underpinnings was used. The setting for this study was virtual interviews in a secure online platform. The sample consisted of 13 participants, self-identifying as experiencing D-MER. Semi-structured interviews, with thematic analysis of transcription were conducted. Four major themes were identified: 1) Breastfeeding concessions and toleration; 2) Something does not feel “normal”; 3) I remember a feeling like this before 4) This is real, and recognition is validating. Conclusions were that women of this study value the importance of providing breastmilk, as the optimal nutritional source, to their infants, seek validation, support, and understanding related to the phenomenon they are experiencing, and feel a strong need for enhanced education and awareness within the healthcare provider population and prenatal education. Implications for nursing education include enhanced content related to the assessment and care of a woman experiencing D-MER, greater support strategies for these women, and more research, both qualitative and quantitative, due to the limited literature that currently exists. Future research recommendations include prevalence rates, impacts on maternal-newborn bonding, and impacts on the breastfeeding relationship. This research is a priority, for greater knowledge attainment regarding emotional sensations during lactation is strongly associated with positive breastfeeding outcomes related to bonding, duration, and psychological well-being.

Language

English

Download

Share

COinS