Dysphoric milk ejection reflex to nipple/areolar stimulation, thoughts of the baby or of breastfeeding, or overfull breasts, travels through both brain and bloodstream, causing emotional changes in the brain and the release of milk in the breast. Prolactin, released in a gradual wave that peaks after the beginning of a feeding, is responsible for continued milk production. Dopamine inhibits the release of prolactin, so dopamine levels must drop in order for prolactin levels to rise. Some speculate that the necessary dopamine drop is similar to (and timed with) the oxytocin spike – a sort of negative image – but that in D-MER mothers it
Birthing center for her or the child, but some Amish women choose to go the hospital during labor for peace of mind. Two books have been written about Amish medical issues including their birthing practices: "Dr. Frau: A Woman Doctor among the Amish" by Grace Kaiser and "House calls and hitching posts: stories from Dr. Elton Lehman's career among the Amish" by Elton Lehman"." Lehman is known for his work in founding a freestanding Amish birthing center. The Mount Eaton Care Center, Ohio's first such center, was established in 1984. In her book, "Kaiser" recounts the private nature of birthing among the