Table 3.

Differences between D-MER and BAA/BAR.

Aspect	D-MER	BAA/BAR
Definition	a neurological condition causing brief dysphoria during let-down	psychological aversion or agitation toward nursing
Onset timing	occurs just before or during milk ejection (let-down reflex)	can occur anytime during nursing, especially with older infants
Duration of episode	lasts 30 s to 2 min	persists as long as nursing continues
Primary emotions	sudden wave of sadness, dread, anxiety	anger, irritability, skin-crawling sensation
Hormonal involvement	linked to hormonal changes during let-down	not clearly linked to hormonal shifts
Typical onset period	often appears in early postpartum period	can develop later, especially during toddler nursing or tandem feeding
Resolution	often resolves over time	may persist unless feeding patterns are changed
Research status	some emerging scientific understanding	largely anecdotal, with limited formal study