This is my question. I used to educate parents that no additional water is needed for exclusively breastfed infants under a year. I have recently seen recommendations that "infants need additional water when solids are started because of their osmolar load." (Wombach and Riordon 2016, p. 701)
Some sources suggest 2 ounces of water in 24 hours is fine for infants over 6 months, while others recommend 4 ounces. Is there a standard recommendation?

In addition, what strategies would you recommend for an infant over 6 months, who only takes breast milk from the breast, mom works, and infant is falling off the growth curve?

Carolyn

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