Objectives <p>To compare the time taken to reach full Katori spoon (KS) feeds in preterm neonates (≤ 32 wk) receiving structured oromotor stimulation (OMS) vs. standard care. Secondary objectives included evaluating feeding performance, hospital duration, weight gain, and attainment of partial and complete breastfeeding in both groups.</p> Methods <p>This open-label, randomised control trial was conducted in a tertiary-level NICU in India. Eligible preterm neonates, with a gestational age of 28⁺⁰ to 32⁺⁶ wk, were randomly allocated to either intervention or standard care groups once they accepted 100 mL/kg of orogastric feeds. In intervention group, mothers were trained to administer OMS for 2&#xa0;min, three times daily, until they achieved full KS feeds.</p> Results <p>Of the 84 enrolled neonates, 79 were included in the final analysis. The median time to attain full KS feeds was 20 d (IQR: 14–26) in the OMS group, compared to 20 d (IQR: 13–37) in the control group (<i>p</i> = 0.73, 95% CI: 0.44–1.13). In 28–29 wk stratum, neonates in OMS group transitioned to full KS feeds earlier (27.5 vs. 35 d), although this difference was not statistically significant (<i>p</i> = 0.29). Secondary outcomes, such as feeding proficiency, efficiency, volume transfer, duration of hospital stay and attainment of breastfeeding were not significantly different between the two groups.</p> Conclusions <p>OMS done by the mother didn’t result in early attainment of oral feeds in preterm neonates. However, the benefits of OMS seen in &lt; 30 wk neonates need to be explored further with high-quality and adequately powered studies.</p>