Kris, Sometimes when an infant has a really weak suck, using a syringe and 5 french feeding tube at the breast to deliver a bolus when the suck pressure decreases or the infant pauses too long can be effective. Mom may be able to deliver a bolus with the SNS by squeezing the bottle. The small amount that drips from the tubes may not be enough to stimulate a hypotonic baby. Other helps for hypotonic infants are positioning them in flexion (for added stability); gently stroking under the chin (sublingual stimulation) to encourage tongue movements; and global measures to increase muscle tone such as massage, and rocking or bouncing through the spine before feeding. Keep us posted! Catherine Watson Genna, IBCLC NYC [log in to unmask]