Question

Which of the following does a newly born need with breast milk?

• A. Honey
• B. Glucose
• C. Water
• D. None of these

Hint:

Newborns need ONLY breast milk for first 6 months—no water, no honey, no glucose. Breast milk is 87% water and provides complete nutrition. Honey can cause infant botulism and is dangerous under 1 year.

Answer 1

The Correct Option is D

Breast milk is uniquely designed to meet all the nutritional needs of a newborn infant. Understanding what newborns require is crucial for proper infant care.

• Breast Milk Composition:
  • Contains the perfect balance of nutrients: carbohydrates (lactose), proteins, fats, vitamins, and minerals
  • Provides antibodies and immune factors that protect against infections
  • Changes composition as the baby grows to meet changing needs
  • Contains approximately 87% water, which fulfills the baby's hydration needs
• Why Newborns Don't Need Extra Water:
  • Breast milk is about 87% water, enough to keep the baby well-hydrated even in hot weather
  • Giving extra water can:
    • Fill the baby's small stomach, reducing appetite for nutrient-rich breast milk
    • Lead to water intoxication (diluting electrolytes in blood)
    • Increase risk of infections if water is contaminated
  • World Health Organization (WHO) recommends exclusive breastfeeding for first 6 months—no other liquids or solids, not even water
• Why Other Options are Incorrect:
  • (A) Honey:
    • Never give honey to infants under 1 year
    • Risk of infant botulism (spores of *Clostridium botulinum* in honey)
    • Can cause serious illness or death
  • (B) Glucose:
    • Not needed—breast milk provides lactose (milk sugar)
    • Extra glucose can disrupt blood sugar balance
    • Not recommended unless medically prescribed for specific conditions
  • (C) Water:
    • Not needed as explained above
    • Exclusive breastfeeding provides all necessary hydration

WHO/UNICEF Recommendations:

• Initiate breastfeeding within first hour of birth
• Exclusive breastfeeding for first 6 months (no water, no other milk, no foods)
• Continue breastfeeding with complementary foods up to 2 years or beyond

Final Answer: (D) None of these