Which signs indicate that oral feedings can be started in neonates?

The signs indicating that oral feedings can be started in neonates primarily involve readiness cues that show the infant's ability and willingness to feed. Sucking on a pacifier demonstrates that the infant has a functioning suck reflex, which is essential for effective feeding. Waking or fussing near feeding time is a clear indication that the infant is hungry and ready to engage in feeding behavior. Maintaining an active state suggests that the neonate is alert and engaged, essential for successful feeding.

These observations are critical as they reflect both physiological readiness and behavioral signs that indicate readiness for oral feeding. When a newborn shows these signs, it is generally considered safe to start oral feedings, typically breastfeeding or bottle-feeding, as the infant is both alert and exhibiting the necessary reflexes for feeding.