Can newborns be given water to drink?

Patient's question:

The stool is a bit yellow. What kind of assistance do you need: My child is now nine days old, and the breast milk is not very sufficient. I am feeding them with both formula and breast milk. In this situation, should my child drink water? Someone told me that there is no need to give the child water, and now...

Doctor's answer:

Breastfed infants do not need to supplement with any food or drink, including water, within the first four months. The six major nutrients required for human growth and development are proteins, fats, carbohydrates, vitamins, minerals, and water. The first three nutrients can produce energy and are called energy-providing nutrients, while the last three cannot produce energy and are referred to as non-energy-providing nutrients. Breast milk contains all the nutrients needed by infants aged 4 to 6 months. It not only provides the proteins, fats, and lactose required by infants but also contains sufficient vitamins, water, and substances such as iron, calcium, phosphorus, and trace elements. The main component of breast milk is water, which is already sufficient for infants. Additionally, if an infant is breastfed with an adequate amount of milk, both energy and water needs are fully met, satisfying the requirements of their metabolism. Therefore, breastfed infants do not need to be given warm water. Adding extra water can increase pressure on the infant's heart and digestive system, which is not beneficial for their growth and development. If the infant is formula-fed, water should be given to prevent stomach issues. However, with exclusive breastfeeding, there is no need to add water.

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