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Try hand expressing or using a pump until you get a let down and then latch her on. She may be frustrated that there isn't immediate flow. Also wait until she's sort of sleepy or distracted, though that's kind of all the time at this age Don't give up Momma, I imagine it's super frustrating, but she's still so little that you can overcome this!

Have you thought about trying a nipple shield? It may be more like the bottles she's used to and make the transition back to breast a little easier for her tiny mouth. The downside is another potential transition in the future, but that should be easier once she's bigger.

Don't wait to see the IBCLC!!! I had to pump for DD from 3 to 7ish weeks and the IBCLC was invaluable when it came to getting her back to the breast. I echo a PP who said to get your milk flowing before latching, since she might be more likely to keep sucking if there's immediate reward.

Also, I know when combo feeding they say to always nurse first and then offer a bottle, but if she's super hungry she might be too frustrated to latch and wait, so you could try giving her a small amount by bottle first and then nursing when she's more patient.

I would try the suggestions of letting down before latching first, but if that doesn't work then consider if your pumping routine is the issue. DS didn't nurse until he has 5 or 6 days old (feeding tube and bottles in the NICU). After a few weeks of struggling, an LC clued me in that he wasn't latching b/c he was getting too much milk too fast. Turns out the pumping schedule the hospital set me up on to help my milk come in generated too much supply for a single newborn. I scaled back how long I pumped each session, and he became much more willing to latch.

I think an SNS could be really helpful, as well as seeing an LC as soon as possible.

@peachykeen: Yay! Great update!