Bonnie, I am interested in this situation, but I have some questions. I don't understand exactly how you discerned that this baby needs supplementing or that the mom's supply is low. Unless I read your post wrong, the information you supplied showed that the baby regained birthweight by 2 weeks and went on to gain 32 ounces in four weeks. On the surface, it seems a decent weight gain--the upper end of average good. You didn't mention anything about poops. You also posted that the mom hand expressed almost one cup of breast milk in five minutes. I think this is pretty good--especially for hand expression! Why did she not get more milk when using a good pump, I wonder? I also wonder why you suggested that the mom pump but have someone else give the baby a bottle? Why not just stick with the SNS? It seems like this poor mom is juggling a lot of machinery, and I'm not sure why. Regarding securing the SNS tubing, I helped a mom once for whon the tape didn't work. She slipped the tubing in as you describe and it worked well for her. I hope to her more about this situation. Diane, LLLL from VT