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Before 9 months, babies should only have breast milk as introducing water can disrupt their electrolyte balance

After six months, small sips of water can be introduced gradually

Benjamin Larweh
Last updated: February 23, 2025 7:12 am
Benjamin Larweh
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For babies under six months, water is not just unnecessary—it can be harmful.

Breast milk and formula provide all the hydration an infant needs. They contain a carefully balanced mix of nutrients and electrolytes essential for growth and development.

Introducing water too early can disrupt this balance, leading to serious health complications.

For example, giving water to a young baby can cause water intoxication, a condition where the blood’s sodium levels become dangerously diluted.

This can lead to seizures, brain swelling, and in severe cases, even death. While it may seem counterintuitive, keeping water away from your baby in their first months is one of the best ways to protect their health.

The Common Misconception About Water for Infants

Many cultures and even well-meaning relatives advise giving babies water, especially in hot weather.

But here’s the truth: breast milk and formula are more than 85% water. They provide all the fluids a baby needs while maintaining the correct balance of sodium and other vital nutrients.

Some parents believe that offering water can help with constipation or overheating, but research suggests otherwise.

Too much water can actually flush out essential nutrients, leading to malnutrition and developmental delays.

The Dangers of Early Water Introduction

At around four to six months, some parents feel pressured to start giving their baby sips of water, thinking it’s a harmless way to keep them cool or help with digestion.

But pediatricians warn that even small amounts of water before six months can interfere with nutrient absorption.

For example, a 2019 study found that infants who received water too early were more likely to experience electrolyte imbalances, which can impair brain function.

The kidneys of newborns are not fully developed, making it difficult for them to process excess water efficiently.

This is why experts recommend sticking to breast milk or formula exclusively until six months.

When and How to Introduce Water Safely

As babies start eating solid foods, their hydration needs shift slightly. Here’s a safe timeline for introducing water:

6-9 Months:

  • Offer small sips of water during meals.
  • Limit intake to a few ounces per day.
  • Continue relying on breast milk or formula as the primary source of fluids.

9-12 Months:

  • Gradually increase water intake.
  • Introduce water in an open cup to help develop drinking skills.
  • Monitor for signs of overhydration (e.g., frequent urination, loss of appetite).

12 Months and Beyond:

  • Water can become a regular part of your child’s diet.
  • Encourage drinking from a cup instead of a bottle.
  • Aim for about 8-16 ounces of water per day, depending on the child’s activity level and diet.

Signs of Dehydration in Infants

While too much water is dangerous, dehydration is also a concern, especially in hot climates. Watch for these warning signs of dehydration:

  • Fewer than six wet diapers per day
  • Dark yellow urine
  • Dry lips or mouth
  • Lethargy or irritability
  • Sunken soft spot (fontanelle) on the baby’s head

If you notice these symptoms, consult a pediatrician immediately.

Final Thoughts

Hydration is critical for an infant’s development, but it must be managed carefully. Before six months, breast milk or formula provides all the fluids a baby needs.

After six months, small amounts of water can be introduced gradually, but breast milk or formula should remain the primary source of hydration until at least one year of age.

By following these guidelines, parents can ensure their babies stay hydrated in a safe and healthy way.


References

  • When can babies drink water?
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