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Pregnancy Today's Advisory Panel Answers:
I feel very strongly that newborns DO NOT need to have water in the hospital or anywhere else for that matter. How can I make sure the hospital staff will respect my wishes in this matter?

by Melissa Clark Vickers
      MEd, IBCLC
Lactation Consultant
Melissa Clark Vickers, MEd, IBCLC

Question

I am expecting my 5th child at the end of October. I have breasfed ALL my children for lengthy periods of time. I feel very strongly that newborns DO NOT need to have water in the hospital or anywhere else for that matter. How can I make sure the hospital staff will respect my wishes in this matter? I will meet the pediatrician this week and hope to enlist his support. Do I have any other alternatives in this matter?

First, you are right that breastfed babies generally do not need water supplements. Breastmilk is mostly water--with a lot of other good stuff mixed in! The trick is making sure that this information is part of your hospital's protocol for newborns. You are wise to discuss this with your pediatrician before your baby is born to see what his standing orders are. If he agrees that your baby shouldn't be given water routinely, then that's most of the battle right there. Most likely, if he agrees with you, the hospital will as well, or at least will go along with his written orders on the matter.

If he does not agree, one of the best places you can go for specific recommendations from a source he should respect is the American Academy of Pediatrics. Earlier this year they came out with a wonderful policy statement concerning breastfeeding. You can find a complete copy at their web site: http://www.aap.org/policy/re9729.html.

Two recommendations in this policy statement address water specifically:

4. "No supplements (water, glucose water, formula, and so forth) should be given to breastfeeding newborns unless a medical indication exists. With sound breastfeeding knowledge and practices, supplements rarely are needed."

and

7. "In the first 6 months, water, juice, and other foods are generally unnecessary for breastfed infants."

This policy comes complete with a bibliography of all the studies used to come up with the recommendations.

Hope that helps!

Melissa

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