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

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One sunny afternoon, while out with my mother and my first baby, who had just hit the five-month mark, I experienced a moment of panic. The heat was intense, and my well-meaning mom, despite knowing my son was exclusively breastfed, decided he needed a sip of water from her bottle. Instinctively, I shouted “NO!” and swiftly took the water bottle away. I remembered that breastfed babies don’t require extra hydration, and my milk provided all the fluids he needed. My ample supply and his drenched diapers—even in the summer—were proof of that. But I was left wondering, was there more to my gut reaction?

After returning home, I dove into research (a common reaction of parents faced with conflicting advice), and I confirmed that my instincts were spot on. Babies who haven’t started solids shouldn’t be given water, whether they’re breastfed or formula-fed. According to the American Academy of Pediatrics, “Healthy babies do not need extra water.” Breast milk or formula delivers all the necessary hydration for the first six months of life.

This guidance is particularly crucial for younger infants, as their bodies are not equipped to handle anything other than milk. Supplementing with water can disrupt milk production since breastfeeding operates on a supply-and-demand basis. When babies receive liquids from other sources, they may not nurse as often, which can lead to a decrease in breast milk supply. The Academy of Breastfeeding Medicine states, “Supplementation in the first few days interferes with the normal frequency of breastfeedings,” increasing the risk of jaundice, excessive weight loss, prolonged hospital stays, and even water intoxication.

Water intoxication—yes, it’s a real concern! Giving a baby too much water can be hazardous, especially for those under one year old and particularly those under nine months. As Dr. Alex Thompson, a pediatrician, explains, excess water can disturb a baby’s sodium balance, which in extreme cases might lead to seizures, comas, or worse.

If you feel compelled to offer your baby water, keep it to a strict limit of two to three ounces at a time. It should only be given after they’ve breastfed or had formula. Dr. Thompson even goes so far as to advise against swimming lessons for babies, as the risk of them swallowing excess water can be significant.

While we don’t need to panic over every drop of water, being aware of this issue is crucial. Once your little one starts eating solids, it’s advisable to introduce water with meals—but remember, no juice! Start slow and in moderation, as water can aid digestion, especially as breast milk or formula intake decreases.

So, when well-meaning family members or friends suggest quenching your baby’s thirst with water before they hit that six-month milestone, feel empowered to respond with a firm “No, thank you!” Your baby truly doesn’t need any extra water during those early months.

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Summary

Babies should not drink water until they are six months old due to the risk of water intoxication and because breast milk or formula provides all necessary hydration. Introducing water should only occur alongside solids and done in moderation. Always prioritize breast milk or formula for infants during the first six months.

Keyphrase: Babies and Water

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