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Water

Posted by on Sep. 9, 2013 at 6:20 PM
  • 6 Replies
How soon can babies start sipping on water? We got ds2(He's 7 months) a sippy cup and wanted to put a little water in it but wasn't sure when he could have some. He is also currently nursing and taking in a few solids.
by on Sep. 9, 2013 at 6:20 PM
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gdiamante
by Group Mod - Gina on Sep. 9, 2013 at 6:29 PM
2 moms liked this

This shoudl help:

Guidelines for offering water to breastfed babies

AUGUST 2, 2011. Posted in: SOLID FOODS

Breastfed babies do not need water – keep in mind that breastmilk is 88% water. Even in the first few days after birth, before mom’s milk has “come in”,colostrum is all that is needed to keep baby well hydrated (assuming baby is nursing effectively). Per the American Academy of Pediatrics, “Supplements (water, glucose water, formula, and other fluids) should not be given to breastfeeding newborn infants unless ordered by a physician when a medical indication exists… During the first 6 months of age, even in hot climates, water and juice are unnecessary for breastfed infants and may introduce contaminants or allergens.”

In addition, breastfed babies do not require water when it is very hot outside, assuming baby is allowed to nurse as needed. Baby can get all the liquids needed via breastmilk. A number of studies have determined that an exclusively breastfed baby does not need extra water – these studies have been done in various locations (both humid and dry) at temperatures ranging from 22-41°C (71.6-105.8°F) and 9-96% relative humidity [see references below].

Note: Formula fed babies do not routinely need extra water. Some sources do suggest offering water to a formula fed baby when it is very hot outside (though baby may prefer to get extra water from more frequent feeding), or when baby is sick with a fever (consult baby’s doctor for guidelines).

For newborns (especially under 4-5 weeks), water supplements can be risky

  • Babies under two months should not be given supplemental water.
  • Water supplements are associated with increased bilirubin levels in jaundiced newborns.
  • Too much water can lead to a serious condition called oral water intoxication.
  • Water supplements fill baby up without adding calories, so water supplements can result in weight loss (or insufficient weight gain) for the baby.
  • Babies who get water supplements are less interested in nursing. If baby is not nursing as often as he should, it will take longer for mom’s milk to come in and can delay or prevent mom from establishing an optimum milk supply.

For babies past the newborn stage

  • Too much water can interfere with breastfeeding because it fills baby up so that he nurses less. Babies need the nutrition and calories in breastmilk to grow – water has none of these.
  • Breastmilk has all the water your baby needs, even in very hot weather.
  • When your 4-6 month old baby is learning to use a cup, giving him a few sips of water a couple of times a day (no more than 2 ounces per 24 hours) is fine and fun.
  • Once baby starts solids, you might want to give him a few sips of expressed milk or water with his solids – some babies need this to prevent constipation.

Additional information

PDF Exclusive Breastfeeding: The Only Water Source Young Infants Need FAQ Sheet No. 5 from the Linkages Project

Supplemental Water in Breastfed Infants by Jay Gordon, MD

Do Breastfed Babies Need Water? by Anne Smith, IBCLC

Should I give my baby water as well as breastmilk? by Annie VerSteeg, IBCLC

Water: Dangerous for newborns? by Debbi Donovan, IBCLC

Beat the Heat: Summertime Suckling by Teresa Pitman

American Academy of Pediatrics Section on Breastfeeding. Breastfeeding and the Use of Human Milk. Pediatrics. 2005 Feb;115(2):496-506.

References

No need for water in hot weather

Almroth S, Bidinger PD. No need for water supplementation for exclusively breast-fed infants under hot and arid conditionsTrans R Soc Trop Med Hyg. 1990;84:602-604. [This study took place in India at temperatures from 35-40°C and relative humidity of 10-35%.]

Almroth SG. Water requirements of breast-fed infants in a hot climateAm J Clin Nutr. 1978 Jul;31(7):1154-7. [This study took place in Jamaica, at an average outdoor temperature of 27.6°C.]

Armelini PA, Gonzalez CF. Breast feeding and fluid intake in a hot climateClin Pediatr. 1979;18:424-425.

Ashraf RN, Jalil F, Aperia A, Lindblad BS. Additional water is not needed for healthy breast-fed babies in a hot climateActa Paediatr. 1993 Dec; 82(12): 1007-11. [This study took place in Lahore, Pakistan at temperatures from 27.4-40.7°C and relative humidity of 24-77%.]

Brown KH, Creed de Kanashiro H, del Aguila R, Lopez de Romana G, Black RE. Milk consumption and hydration status of exclusively breastfed infants in a warm climateJ Pediatr. 1986;108:677-680. [This study took place in Peru at temperatures from 26-33°C and relative humidity of 49-96%.]

Cohen RJ, Brown KH, Rivera LL, Dewey KG. Exclusively breastfed, low birthweight term infants do not need supplemental waterActa Paediatr. 2000 May; 89(5): 550-2. [This study took place in Honduras at temperatures from 22-36°C and relative humidity of 37-86%.]

Goldberg NM, Adams E. Supplementary water for breast-fed babies in a hot and dry climate–not really a necessityArch Dis Child. 1983 Jan;58(1):73-4. [This study took place in the Sinai desert, with temperatures between 32 and 37°C]

Sachdev HP, Krishna J, Puri RK. Do exclusively breast fed infants need fluid supplementation?Indian Pediatr. 1992 Apr; 29(4): 535-40.

Sachdev HP, Krishna J, Puri RK, Satyanarayana L, Kumar S. Water supplementation in exclusively breastfed infants during summer in the tropicsLancet. 1991 Apr 20; 337(8747): 929-33. [This study took place in the tropics at temperatures from 34-41°C and relative humidity of 9-60%.]

Senanayake MP, Weerawarna H, Karunaratne KW, de Silva TU. Do babies need water in Sri Lanka? Ceylon Med J. 1999 Sep; 44(3): 126-9.

Jaundice

de Carvalho M, Klaus MH, Merkatz RB. Frequency of breast-feeding and serum bilirubin concentrationAm J Dis Child 1982 Aug;136(8):737-8.

de Carvalho M, Hall M, Harvey D. Effects of water supplementation on physiological jaundice in breast-fed babiesArch Dis Child. 1981: 56: 568-569).

Nicoll A, Ginsburg R, Tripp JH. Supplementary feeding and jaundice in newbornsActa Paediatr Scand 1982 Sep;71(5):759-61.

General

Glover J, Sandilands M. Supplementation of breastfeeding infants and weight loss in hospitalJ Hum Lact 1990 Dec;6(4):163-6.

Martin-Calama J, Bunuel J, Valero MT, Labay M, Lasarte JJ, Valle F, de Miguel C. The effect of feeding glucose water to breastfeeding newborns on weight, body temperature, blood glucose, and breastfeeding durationJ Hum Lact 1997 Sep;13(3):209-13.

Scariati PD, Grummer-Strawn LM, Fein SB. Water supplementation of infants in the first month of lifeArch Pediatr Adolesc Med. 1997 Aug;151(8):830-2.

World Health Organization, Division of Child Health and Development Update No. 9: PDF Breastfeeding and the Use of Water and Teas, November 1997.

lulu_tattoos
by on Sep. 10, 2013 at 1:04 AM
We use water in my 7 month olds cup because he mostly ends up with whatever liquid is in there ON him rather than IN him. I just want him to be familiar with and accepting of a sippy so we let him do that every once in a while. I don't want to waste pumped breast milk and have a sticky baby lol
tabi_cat1023
by Group Mod - Tabitha on Sep. 10, 2013 at 9:43 AM

A few ounces a day after solids are started is fine

Kathy489
by Bronze Member on Sep. 10, 2013 at 9:49 AM

I wouldn't say he needs any unless he shows an interest. I also agree with all of the above posts.

jplumb
by Member on Sep. 10, 2013 at 10:34 AM
He wants our cups when we drink so that's why I was asking. Does it need to be a certain kinds of water(nursery water, purified, drinking, tap)?
aehanrahan
by Group Mod - Amy on Sep. 12, 2013 at 3:04 AM

Whatever water you drink is fine. Nothing special is necessary.

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