How to feed baby water

Drinks and cups for babies and young children

Solid foods and milk for your baby

You should continue to breastfeed or give your baby first infant formula until they're at least 1 year old.

Breastfeeding will continue to benefit you and your baby for as long as you carry on.

As your baby eats more solid foods, the amount of milk they want will decrease.

Once your baby is eating plenty of solids several times a day, they may even drop a milk feed altogether.

Beakers and cups for babies

Introduce your baby to drinking from a cup or beaker from around 6 months and offer sips of water with meals.

Using an open cup or a free-flow cup without a valve will help your baby learn to sip and is better for your baby’s teeth.

It might be messy at first but be patient, your baby will gradually learn how to drink from an open cup.

Once your baby is 1 year old, feeding from a bottle should be discouraged.

When using a bottle or trainer cup, do not put anything in it other than breast milk, formula milk or water, and do not add anything else (including sugar, cereals, baby rice or chocolate powder) to the feed.

Comfort sucking from a bottle on sweetened drinks causes tooth decay in young children. Drinks flow very slowly through a teat, which means the sugary substance will be in contact with their teeth for longer.

Find out how to look after your baby's teeth.

Choosing a baby beaker or cup

It's important to choose the right kind of beaker or cup.

A cup or beaker with a free-flow lid (without a non-spill valve) is better than a bottle or beaker with a teat as it will help your baby learn how to sip rather than suck.

As soon as your child is ready, encourage them to move from a lidded beaker to drinking from an open cup.

Drinks for babies and young children

Not all drinks are suitable for babies and young children. Here's what to give to your child and when.

Breast milk

Breast milk is the only food or drink babies need in the first 6 months of their life.

It should continue to be given alongside an increasingly varied diet once you introduce solid foods from around 6 months.

The World Health Organization recommends that all babies are breastfed for up to 2 years or longer.

Breastfeeding up to 12 months is associated with a lower risk of tooth decay.

Formula milk

First infant formula is usually based on cows' milk and is the only suitable alternative to breast milk in the first 12 months of your baby's life.

Follow-on formula is not suitable for babies under 6 months, and you do not need to introduce it after 6 months.

First infant formula, follow-on formula or growing-up milks are not needed once your baby is 12 months old.

Cows' milk can be introduced as a main drink from 12 months.

Read more about the types of infant formula.

Non-cows' milk formula

Goats' milk formula is available and produced to the same nutritional standards as cows' milk formula.

Goats' milk formula is not suitable for babies with cows' milk protein allergy. It's no less likely to cause allergies in babies than cows' milk formula as the proteins they contain are very similar.

You should only give your baby soya formula if a health professional advises you to.

'Goodnight' milk

"Goodnight" milk is not suitable for babies under 6 months old. This type of formula is not needed, and there's no evidence that babies settle better or sleep longer after having it.

Water

Giving cold water as a drink to babies under 6 months is not recommended. Speak to your GP or health visitor for advice before giving water to your baby.

From around 6 months you can start introducing water with meals.

When preparing infant formula for babies, you'll need to boil fresh tap water and let it cool for no more than 30 minutes, so that it remains at a temperature of at least 70C.

Bottled water is not recommended for making up feeds, as it's not sterile and may contain too much salt (sodium) or sulphate.

Read more about how to make up baby formula.

Cows' milk

Cows' milk can be used in cooking or mixed with food from around 6 months but should not be given as a drink to babies until they're 12 months old. This is because cows' milk does not contain enough iron to meet your baby's needs.

Whole milk should be given to children until they're 2 years old because they need the extra energy and vitamins it contains.

Semi-skimmed milk can be introduced once your child is 2 years old, as long as they're a good eater and they have a varied diet.

Skimmed and 1% milk are not suitable for children under 5 years old because they do not contain enough calories.

Lower-fat milks can be used in cooking from 1 year old.

Unpasteurised milk

Young children should not be given unpasteurised milk because of the higher risk of food poisoning.

Goats' and sheep's milk

Goats' and sheep's milk are not suitable as drinks for babies under 1 year old as, like cows' milk, they do not contain enough iron and other nutrients babies this age need.  As long as they're pasteurised, they can be used once your baby is 1 year old.

Soya drinks and other milk alternatives

You can give your child unsweetened calcium-fortified milk alternatives, such as soya, oat or almond drinks, from the age of 1 as part of a healthy balanced diet.

Babies and young children under 5 years old should not be given rice drinks, because of the levels of arsenic in these products.

If your child has an allergy or intolerance to milk, talk to your health visitor or GP. They can advise you about suitable milk alternatives.

Rice drinks

Children under 5 years old should not have rice drinks as a substitute for breast milk, infant formula or cows' milk as they may contain too much arsenic.

Arsenic is found naturally in the environment and can find its way into our food and water.

Rice tends to take up more arsenic than other grains, but this does not mean that your baby cannot eat rice.

In the UK, there are maximum levels of inorganic arsenic allowed in rice and rice products, and even stricter levels are set for foods intended for young children.

Do not worry if your child has already had rice drinks. There's no immediate risk to them, but it's best to switch to a different kind of milk.

Fruit juice and smoothies

Fruit juices, such as orange juice, are a good source of vitamin C. However, they also contain natural sugars and acids, which can cause tooth decay.

Babies under 12 months do not need fruit juice or smoothies. If you choose to give these to your baby, dilute the juices and smoothies (one part juice to 10 parts water) and limit them to mealtimes.

Giving fruit juice and smoothies at mealtimes (rather than between meals) helps reduce the risk of tooth decay.

From 5 years old, you can give your child undiluted fruit juice or smoothies. Stick to no more than 1 glass (about 150 ml) a day, served with meals.

Squashes, flavoured milk, 'fruit' or 'juice' drinks and fizzy drinks

Squashes, flavoured milk, "fruit" or "juice" drinks and fizzy drinks are not suitable for young babies. They contain sugar and can cause tooth decay, even when diluted. 

For older babies and young children, these drinks can fill your child up so they're not hungry for healthier food. Instead, offer sips of water from a cup with meals.

Fizzy drinks are acidic and can damage tooth enamel so they should not be given to babies and young children.

Diet or reduced-sugar drinks are not recommended for babies and young children.

Even low-calorie drinks and no-added-sugar drinks can encourage children to develop a sweet tooth.

'Baby' and herbal drinks

"Baby" and herbal drinks usually contain sugars and are not recommended.

Hot drinks

Tea and coffee are not suitable for babies or young children. If sugar is added, this can lead to tooth decay.

Further information

• Your baby's first solid foods
• Baby and toddler meal ideas
• Looking after your baby's teeth
• Expressing and storing breast milk
• Bottle feeding advice

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Video: Should my baby use a beaker or a cup?

In this video, a health visitor talks about whether your baby should use a beaker or a cup.

Media last reviewed: 28 September 2020
Media review due: 28 September 2023

When Is It Safe to Give Water to Infants?

Written by WebMD Editorial Contributors

In this Article

• How Infants Stay Hydrated
• When Babies Can Start Drinking Water
• Making Sure Water Is Baby-Safe
• Risks of Water for Infants
• Water as Your Baby Grows

If you have a baby, you’re probably concerned about making sure they have enough water and nutrients to stay healthy. Even though your baby drinks breast milk or formula, is that enough to keep them hydrated? Yes. Here’s what you need to know.

How Infants Stay Hydrated

As an adult, water is the most hydrating thing you can drink. It quenches your thirst and helps all of your systems stay balanced. 

But children under a year old don’t need water like adults do. It can actually be dangerous for them. Babies get all their hydration from breast milk or formula.

When Babies Can Start Drinking Water

A baby should drink only breast milk or formula until they’re six months old. It has all the hydration and nutrition they need in the early months. 

Even when you start giving them purees or table food at around 6 months of age, breast milk and formula are still more important than water. But you can begin to introduce it. 

When babies are between 6 and 12 months of age, breast milk or formula continues to be a priority over water. But if you offer breast milk or formula first, you can then offer water, 2-3 ounces at a time. At this age, 4-8 ounces a day of water is enough. More than that may lead to water intoxication.

Making Sure Water Is Baby-Safe

Before using water to mix baby formula or offering a baby water for the first time, consider testing your tap water. While tap water may have fluoride that helps prevent tooth decay, it could also contain levels of lead that are unsafe for babies.

Most tap water in the U. S. is safe, with a few exceptions:

• If you have untested well water.
• If your water source has recently been contaminated.
• If your baby has low immunity‌.

If you’re worried about lead exposure and traces of chemicals in your water, install a filtration system or use distilled water instead which can be easily purchased.

Considerations for mixing formula with water. If you use tap water to mix formula, mix only one bottle at a time. Don’t  use tap water to mix formula in bulk amounts. 

A similar rule applies to water that you’ve boiled. Refrigerate boiled water within an hour, and throw it away if you don’t use it within 24 hours. Always allow the water to cool completely before mixing the formula. Hot water can burn your baby.

When you purchase formula, carefully follow the instructions on the container for mixing it with water. Instructions vary by brand. This will ensure your baby gets the right amount of nutrients and hydration.  

Mixing in too much formula may lead to constipation or dehydration. Mixing in too little formula may lead to malnutrition or water intoxication.

Risks of Water for Infants

Drinking too much water at a young age is very dangerous. Water causes an imbalance in sodium levels that may lead to:

• Seizures
• Brain damage
• Coma‌
• Death

Water intoxication leads to changes in behavior such as:

• Confusion
• Drowsiness
• Muscle cramps and twitching
• Nausea and vomiting
• Difficulty breathing‌
• Weakness

Watch for signs of water intoxication and call your doctor immediately if you have any concerns.

Water as Your Baby Grows

Between the ages of 1 and 3, your toddler needs 4 cups of liquid per day. This is a transitional period that should include both water and breastmilk or formula. The older your child gets, the more water they need. There are several ways you can encourage your older child to drink enough water.

Flavor water with fresh fruit. Water is healthier than juice since many children’s juices are full of sugar. If your child prefers the taste of juice, use fresh fruit to flavor their water. Lemon, berries, mint, and cucumber are great additions.

Offer more fruits and vegetables. Encourage your child to eat more fruits and vegetables with high water content. These help them stay hydrated without forcing them to drink more water than they want. Hydrating vegetables include cucumber, tomato, zucchini, celery, and iceberg lettuce. Hydrating fruits include strawberries, watermelon, blueberries, cantaloupe, and grapefruit.

Make creative ice cubes and popsicles. Puree your fruit of choice with water and freeze it into ice cubes or popsicle molds.

Provide special drinkware. Use a fancy cup with favorite colors or characters. When you find ways to make water fun, your child is more likely to enjoy drinking it.

Should I give my child water from a bottle?

Many young mothers are interested in the question - is it necessary to give water to a newborn baby? In this case, the doctor gives a variety of advice - some argue that breastfed babies do not need additional water, others assure the opposite. To get an answer to this question, it is necessary to understand in more detail how and when the baby should be watered, and what water can be used for this.

Mother's breast milk, which the child receives from the first days of life, is both food and drink for him - it is known that on 90% it consists of water. Thus, the breastfed baby receives all the amount of fluid he needs. Thanks to special enzymes, mother's milk has a beneficial effect on the digestion process. In addition, the female body is able to independently adapt to the needs of the baby, regulating the composition of breast milk. When the baby needs more liquid, he begins to breastfeed more, thus receiving more foremilk (it is less saturated), which not only quenches thirst well, but also restores electrolyte balance. nine0003

If we take into account all of the above, we can decide that the baby does not need ordinary water as a drink at all. But in fact, sometimes it is necessary. However, giving water to a child who is not yet three months old is possible only on the recommendation of a pediatrician. Babies who are already 4 months old can drink water - this will not affect the breastfeeding process in any way. There are absolutely no contraindications to water if the baby drinks it with pleasure. On the contrary, you should be wary of a lack of fluids, which can cause much more harm to the child. We must not forget that newborns have a very fast metabolism, due to which the loss of moisture can be very significant. nine0003

Water for baby during breastfeeding

You can give your baby water from about 4-5 months. It is best to do this not during feeding, but between them. When the baby feels thirsty, he will gladly drink water from the bottle. As for the norm of fluid for a child, this is a very individual question. As a rule, pediatricians advise giving babies about 100 mg of liquid per 1 kg of body weight, while the liquid includes breast milk. Water in this case will be from 30 to 70 ml. nine0003

The baby can drink water from an ordinary bottle with a nipple, you can also use a spoon for this (it will help to accustom the child to complementary foods, which will be needed soon). However, the main rule to remember is that the baby must drink water voluntarily, in no case should he be forced to do so.

Mixed or formula-fed baby water

Artificial feeding has significant differences from natural feeding. The fact is that infant formula contains much more protein than mother's milk. A formula-fed baby has a special need for extra fluids. If you constantly give him a rich nutrient mixture, this can cause constipation. The additional water received by the baby will improve his well-being and contribute to the normal emptying of the intestines. nine0003

If the child is on mixed or artificial feeding, then you can start giving water to him a little earlier - already from 1 or 2 months of age. In this case, the water temperature should be cooler than the temperature of the nutrient mixture. Pediatricians assure that babies who are on artificial or mixed feeding definitely need water.

You can give your baby a drink immediately after eating. You can also drink it in between feedings. It is important to remember that babies have a very small stomach in volume, and they will not physically be able to drink a lot of water. It is enough to give him 2-3 teaspoons of water. Gradually, this dose can be slightly increased. nine0003

There are situations in which the need for additional liquid for the baby increases dramatically - for example, when the child has been in a room that is too dry for a long time, or has become slightly overheated. Some parents are too afraid of catching a cold while bathing, and maintain a high temperature in his room - because of this, the humidity in the room decreases, and the baby's body is dehydrated. To prevent this from happening, the air temperature in the baby's room should be maintained at 20 degrees, and the humidity should be between 50 and 70%. nine0003

If the air in the room is too dry, the child begins to breathe rapidly, swallowing becomes difficult and colic begins. With overheating, which most often occurs in summer, the baby sweats more, as a result of which the body loses moisture. Signs of dehydration can be signs such as dry skin and mucous membranes, as well as infrequent urination. Pediatricians agree that during illness, newborns need to be given water - for example, with colic, or at elevated temperature. The water in this case should be warm. nine0003

The child needs water in such cases:

• at a high temperature - you can give him a little drink from a spoon, and just moisten his lips with water;
• with diarrhea - you need to give the child a little drink, after which it is imperative to show it to the pediatrician;
• when there is fever without temperature - water can be given to the baby in a small amount;
• for constipation - the liquid will help to empty the intestines without discomfort for the child; nine0034
• when vomiting - water will prevent dehydration and cleanse the stomach;
• for hiccups - water will relieve spasm of the diaphragm, which happened from hypothermia, and also help to get rid of excess air in the stomach.

What kind of water should a baby drink?

Some parents are sure that only boiled water can be given to babies. Actually it is not. When water is boiled, not all bacteria die in it. And in the composition of such water there are chloride compounds that are extremely harmful to babies. Water obtained from open sources can be no less dangerous, as it contains bacteria from the soil and nitrates. In no case should children be given carbonated or mineral medicinal water with a complex chemical composition. Water purified by home filters is also not suitable for babies. nine0003

Where can you get water that will not harm the child? It is best to buy it in a pharmacy. Special water for babies is labeled on the bottle, it contains the optimal amount of minerals for the baby. Water from the pharmacy does not need to be boiled, but after opening it can be stored for no more than a day, and only in the refrigerator. It is best to immediately pour such water into a glass container with a tight-fitting lid.

Which water purification methods can be used for a baby? nine0009

The most economical and easiest option to provide your baby with high-quality drinking water is to buy a special "children's" water filter. This can be a jug-type device - it is inexpensive, it is very easy to use such a filter, and the degree of water purification is very high - the device effectively removes chlorine, bacteria, pesticides and particles of mechanical impurities from ordinary tap water. For the manufacture of such filters, only high-quality safe plastic is used, which is approved by pediatricians. Water purified in this way can be used not only for feeding the baby, but also for preparing various decoctions and infant formulas. nine0003

Can I give my baby water during hiccups?

What is hiccups? This is an involuntary contraction of the muscles of the diaphragm and larynx. Babies are especially susceptible to hiccups, since their diaphragm muscles are characterized by increased excitability. Hypothermia, air entering the stomach, nervous overexcitation and accumulation of gases in the intestines often lead to hiccups.

As soon as a child has hiccups, you need to immediately eliminate its cause. If the baby is cold, it needs to be warmed up. In order for air to come out of the stomach, the baby should be held in a “column”. A few sips of warm water will also help to cope with hiccups. nine0003

It is necessary to give water to a child with hiccups, as this measure will quickly eliminate the cause of discomfort.

If you do everything right and give water to the baby only when he really needs it, then there will be no harm - on the contrary, the child will receive the necessary amount of fluid for the normal functioning of the body.

Information about higher organizations

Ministry of Health of the Russian FederationOfficial portal of the Mayor and the Government of MoscowDepartment of labor and social protection of the population of the city of Moscow: on Mondays from 15. 00 to 18.00Department of health of MoscowDepartment of RosZdravNadzor for the city of Moscow and the Moscow region: Mon - Thu: 9:00 - 17:45, Fri: 9:00 - 16:30, Sat - Sun: days off Office of Rospotrebnadzor for the city of MoscowFKU Main Bureau of Medical and Social Expertise for the city of Moscow: Monday, Tuesday, Wednesday, Thursday, Friday from 8.30 to 17.30 .Directorate for coordinating the activities of medical organizations DZMMosvolunter. Responsible person for cooperation with volunteer organizations: Adylov Seyran Midatovich, tel. +7 499-250-01-75

Information for the public

Assessment of the quality of servicesIndependent assessment of the quality of services provided by medical organizationsQuestionnaire for assessing the quality of services provided by medical organizations on an outpatient basisDrugsCrowdsourcing projects of the Government of MoscowAmbulance and Emergency Medical Service in the City of MoscowAssistance Center for Medical WorkersMoscow City Compulsory Medical Insurance FundInsurance companiesFederal budgetary healthcare institution " Center for Hygiene and Epidemiology in Moscow "Official resource of the Healthy Russia program. " Order of the Ministry of Health of the Russian Federation dated August 10, 2017 N 514n "List of studies during preventive medical examinations of minors" List of drugs dispensed free of charge and with a 50% discount List of categories of citizens persons entitled to receive state social assistanceOn the list of documents required for issuing prescriptionsOn the list of pharmacy organizations for the disabled

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when, how much and what kind of water should be given to a newborn and children during breastfeeding and artificial feeding?

Does a newborn baby need water? This question worries many young mothers, while the recommendations of doctors differ: some believe that the baby does not need any additional fluid, while others argue that the child needs water. Let's try to figure out how and when to give your baby water and how water for newborns differs from ordinary drinking water. nine0086