The Four Trimesters Blog

Pregnancy through Postpartum

A Cure for the Postpartum Chills

Intense shivering after the baby is born?

It's the postpartum chills.

You shiver like you're naked at the north pole. Your teeth chatter. But you're not cold. Warm blankets and hot tea don't help.

Why does it happen? It isn't fully understood, but theories include fluid loss, heat loss, hormonal changes.

It's the most annoying thing, and you can't stop it. Or can you?

Generally, it is self-limiting and you can just ride it out. Duration varies from a few minutes to a half an hour. But if you can't stand it....

Stick out your tongue! 

As long as your tongue is out, the shivers stop. Put it back in your mouth, and they resume until the episode is over.

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Why Babies Don't Shiver When Cold

Did you know that newborns don't shiver when they're cold? 

Shivering is a way for us to generate heat. The rapid expansion and contraction of muscles (shivering) creates heat to warm us. 

So then why don't newborns shiver when they're cold? They don't have to!

Babies are born something called brown fat. Newborns burn "brown fat" to generate heat instead of shivering until they are about 6 months old.

What is this brown fat, and is it different than regular fat? 

Well, have you ever seen chicken fat? That glob of yellow stuff? That's regular fat as we think of it. Commonly called "white fat".

Sparing you the chemistry lesson, suffice it to say that white fat is stored excess calories. Brown fat burns calories to produce heat. 

Infants are born with brown fat around their necks, backs, chests, and buttocks. It like they're wearing a comfy sweater to keep them warm. 

Babies lose most of their brown fat in the first couple of years. By...

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Dysphoric Milk Ejection Reflex

breastfeeding Jan 02, 2020

Breastfeeding? You need to know about this!

Dysphoric Milk Ejection Reflex (D-MER) is a condition affecting lactating women that is characterized by an abrupt dysphoria, or negative emotions, that occur just before milk release and continuing not more than a few minutes.

Dysphoria is defined as an unpleasant or uncomfortable mood, such as sadness, depressed mood, anxiety, irritability, or restlessness. Etymologically, it is the opposite of euphoria. D-MER is like a reflex. It is controlled by hormones and cannot be controlled by the mother. You can't talk yourself out of the dysphoria.

If you get a momentary feeling of sadness when you breastfeed you are not alone. You are not crazy! It's actually a thing!

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