2 Month Old Baby Is Not Drinking Milk
Image courtesy of Spigoo / flickr.com
Exclusively breastfed babies do not need additional water – breastmilk is 88% water and supplies all the fluids that your baby needs. Even in the first few days after birth, before mom's milk has "come up in", colostrum is all that is needed to go along baby well hydrated (assuming baby is nursing effectively).
Formula fed babies besides practise not routinely need extra h2o. Some sources do suggest offer water to a formula fed infant when information technology is very hot outside (though baby may prefer to go extra h2o from more frequent feeding), or when infant is sick with a fever. Consult your babe's doctor for guidelines.
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Exclusively breastfed babies do non require additional h2o even when it is very hot outside, every bit long as baby is allowed to nurse as needed. Even in extremely hot, dry conditions your baby can go all the liquids needed via breastmilk. A number of research studies investigating the need for h2o in exclusively breastfed babies were done in various locations (both boiling and dry) at temperatures ranging from 22-41°C (71.half-dozen-105.8°F) and nine-96% relative humidity [see references below]; these studies concluded that exclusive breastfeeding provides all the fluids needed.
The University of Breastfeeding Medicine advises, "Supplementation in the first few days may interfere with the normal frequency of breastfeeding. Supplementation with water or glucose
h2o, increases the risk of jaundice, excessive weight loss, and longer infirmary stays." 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."
For newborns (especially under 4-5 weeks), h2o supplements tin can be risky
- Babies under two months should not be given supplemental water.
- Water supplements are associated with increased bilirubin levels (jaundice), excess weight loss, and longer hospital stays for newborns.
- Also much water can lead to a serious condition called oral water intoxication.
- Water supplements fill up babe up without adding calories, so water supplements can outcome in weight loss (or insufficient weight proceeds) for the baby.
- Babies who get water supplements are less interested in nursing. If baby is not nursing as often every bit he should, information technology will take longer for mom's milk to come up in and tin filibuster or prevent mom from establishing an optimum milk supply.
For babies past the newborn stage
- Too much h2o tin can interfere with breastfeeding because it fills baby upwards then that he nurses less. Babies need the diet 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 former infant is learning to utilise a loving cup, giving him a few sips of water a couple of times a 24-hour interval (no more than than ii ounces per 24 hours) is fine and fun.
- Once baby starts solids, you lot might want to requite him a few sips of expressed milk or water with his solids – some babies need this to prevent constipation.
- For older babies & toddlers, go along to breastfeed and offering water in moderation (4-6 oz per day). Breastmilk supplies plenty of fluids, and so many older babies or toddlers who breastfeed without restriction can get the fluids they demand through breastfeeding. Others may need a little water with solids to prevent constipation. No need for a canteen – just offering a cup. Most older babies and toddlers particularly like to potable h2o from a parent'southward cup or straw. In our family unit, we usually offer a cup of water at mealtime, or when someone else is getting a drink, and allow the child cull whether or not to drink.
Additional information
Guidelines for offering juice to babies at KellyMom
Do breastfeeding mothers need extra calories or fluids? at KellyMom
Exclusive Breastfeeding: The Only H2o Source Immature Infants Need FAQ Sheet No. five from the Linkages Project
Exercise Breastfed Babies Need Water? by Anne Smith, IBCLC
Beat out the Heat: Summertime Suckling past Teresa Pitman
Babies and Hot Weather–6 Important Things to Know by ByRenee Kam IBCLC
Why can't nosotros requite water to a breastfeeding baby before the 6 months, fifty-fifty when it is hot? World Wellness Organization.
How tin can I keep my infant safe during hot weather? National Health Service (UK).
Foods and Drinks to Encourage (half-dozen-24 months). Centers for Disease Control.
American Academy of Pediatrics Section on Breastfeeding. Breastfeeding and the Utilise of Human Milk. Pediatrics. 2012 Mar;129(3):e827-841. DOI: 10.1542/peds.2011-3552
Academy of Breastfeeding Medicine Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017. Breastfeed Med. 2017;12(3). DOI: 10.1089/bfm.2017.29038.ajk
References
No need for water in hot weather
Almroth S, Bidinger PD. No need for h2o supplementation for exclusively breast-fed infants under hot and arid conditions. Trans R Soc Trop Med Hyg. 1990;84:602-604. [This study took place in India at temperatures from 35-forty°C and relative humidity of x-35%.]
Almroth SG. Water requirements of breast-fed infants in a hot climate. Am 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 climate. Clin 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 climate. Acta Paediatr. 1993 Dec; 82(12): 1007-11. [This study took identify in Lahore, Pakistan at temperatures from 27.iv-40.7°C and relative humidity of 24-77%.]
Brown KH, Creed de Kanashiro H, del Aguila R, Lopez de Romana Thou, Blackness RE. Milk consumption and hydration status of exclusively breastfed infants in a warm climate. J Pediatr. 1986;108:677-680. [This written report took place in Peru at temperatures from 26-33°C and relative humidity of 49-96%.]
Cohen RJ, Brownish KH, Rivera LL, Dewey KG. Exclusively breastfed, low birthweight term infants do not need supplemental water. Acta 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–non really a necessity. Arch Dis Kid. 1983 Jan;58(i):73-4. [This written report took place in the Sinai desert, with temperatures between 32 and 37°C]
Sachdev HP, Krishna J, Puri RK. Practice exclusively breast fed infants need fluid supplementation? Indian Pediatr. 1992 April; 29(4): 535-40.
Sachdev HP, Krishna J, Puri RK, Satyanarayana L, Kumar S. Water supplementation in exclusively breastfed infants during summertime in the tropics. Lancet. 1991 Apr twenty; 337(8747): 929-33. [This written report took identify in the tropics at temperatures from 34-41°C and relative humidity of 9-sixty%.]
Senanayake MP, Weerawarna H, Karunaratne KW, de Silva TU. Practise babies need water in Sri Lanka? Ceylon Med J. 1999 Sep; 44(3): 126-ix.
Jaundice
de Carvalho M, Klaus MH, Merkatz RB. Frequency of breast-feeding and serum bilirubin concentration. Am J Dis Child 1982 Aug;136(8):737-8.
de Carvalho M, Hall K, Harvey D. Effects of water supplementation on physiological jaundice in chest-fed babies. Arch Dis Child. 1981: 56: 568-569).
Nicoll A, Ginsburg R, Tripp JH. Supplementary feeding and jaundice in newborns. Acta Paediatr Scand 1982 Sep;71(5):759-61.
General
Glover J, Sandilands M. Supplementation of breastfeeding infants and weight loss in hospital. J Hum Lact 1990 Dec;vi(iv):163-half-dozen.
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, claret glucose, and breastfeeding duration. J Hum Lact 1997 Sep;13(iii):209-13.
Scariati PD, Grummer-Strawn LM, Fein SB. Water supplementation of infants in the showtime month of life. Arch Pediatr Adolesc Med. 1997 Aug;151(viii):830-2.
Williams HG. "And not a drop to drink" — why water is harmful to newborns. Breastfeed Rev. 2006 Jul;14(ii):5-9
Source: https://kellymom.com/nutrition/starting-solids/baby-water/
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