Why Babies Should Avoid Water Until They’re Six Months Old

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One sunny afternoon, when my first child was just five months old, I was out with my mother. The heat of summer was intense, and despite knowing my baby was exclusively breastfed, she instinctively reached for her water bottle, thinking my son might be thirsty. In a moment of instinct, I exclaimed “NO!” and quickly took the bottle from her. I recalled hearing that breastfed babies don’t need extra water, and I was confident that my milk was providing all the hydration he required. My ample milk supply and the numerous wet diapers were proof enough, but I wondered if there was more to my instinctive reaction.

Later at home, I turned to Google (as most parents do when faced with uncertainty about their child’s needs) and found confirmation for my instincts. Babies who are not yet eating solids should not be given water, whether they are breastfed or formula-fed. The milk they receive contains all the nutrients and fluids necessary for their first six months, as emphasized by the Academy of American Pediatrics: “Healthy babies do not need extra water.”

This is crucial for very young infants, whose bodies are not designed to process anything other than milk. Introducing any supplements, including water, can disrupt milk production. The Academy of Breastfeeding Medicine notes that early supplementation can lead to complications such as increased bilirubin levels, excess weight loss, prolonged hospital stays, and even water intoxication.

For babies under six months who haven’t started solids, caution is key. Some healthcare providers suggest offering small amounts of water to formula-fed babies in hot weather, but this must be done judiciously. Excessive water intake can be hazardous, a condition known as “water intoxication.” While a tiny sip may not pose a risk, significant amounts can have serious consequences.

Dr. James P. Keating, a pediatrician and former medical director at St. Louis Children’s Hospital, warns that for babies under one year—particularly those under nine months—too much water can lead to imbalances in sodium levels. In extreme cases, this can result in seizures, comas, and even death.

If you feel the need to give your baby water, Dr. Keating recommends limiting it to two to three ounces at a time, but only after they have breastfed or received formula. He even advises caution with swimming lessons for infants, as swallowing too much water can lead to serious health issues.

Of course, it’s not necessary to prevent infants from every drop of water, but awareness of the risks associated with excessive water consumption is important. Once babies begin to eat solids and their diet expands beyond milk, experts suggest introducing water (not juice) at mealtime to assist with digestion. It’s essential to gradually replace fluids as breastmilk or formula intake diminishes.

In those first six months, breastmilk or formula is all your baby requires, even in warm weather. So, the next time someone, perhaps a grandparent, attempts to offer your baby a sip from a water bottle, you can confidently say “No thanks!” and carry on, knowing that your little one doesn’t need any extra hydration during this critical period.

This information is vital for all parents to understand and share, including those interested in home insemination techniques. For more on this topic, check out our post on the BabyMaker Home Intracervical Insemination Syringe Kit. Additionally, you can visit CryoBaby’s at-home insemination kit for expert resources. For further information on pregnancy and infertility, Women’s Health offers a comprehensive guide.

Summary

Babies under six months should not be given water, as breastmilk or formula provides all necessary hydration. Introducing water can disrupt milk production and pose health risks such as water intoxication. Parents should wait until their babies start solid foods before offering water at mealtimes to aid digestion.


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