Holistic Reproductive Care for Every Body

THRESHOLD COMMUNITY MIDWIVES

Tessa Micaela Landreau-Grasmuck
Certified Professional Midwife
Clinical Herbalist
Philadelphia, PA

 

a place for your family to come home

Threshold Community Midwives is a home birth and fertility practice founded by a team of two midwives - Emmy Nadav, CPM, LM and Tessa Landreau-Grasmuck, CPM, LM.

We offer holistic, grounded, personalized, and empowering reproductive / generative healthcare for all genders and families. We believe that all people should have access to a generous, loving, autonomous, and dignified entrance into the world and transformation within it. We are dedicated to building trusting relationships and treating you with compassion and dignity. We honor the body’s inherent power and wisdom to make it through life’s transformations and cross through the thresholds.

As midwives, we are experts in the processes of fertility, pregnancy, birth, and postpartum. Our services span the childbearing cycle, ranging from holistic fertility care, including fertility consultations and home intrauterine insemination (IUI), comprehensive and personalized prenatal care, continuous hands-on support for labor and birth, postpartum care for the parent and newborn, including lactation support. We also offer well body care for all genders and ages, including PAP and HPV testing, STI testing, contraception/birth control options counseling, pelvic exams, and holistic care and counseling for sexual, pelvic, reproductive, and menstrual cycle health.

We welcome all people, genders, sexualities, and family structures into our practice. We are committed to providing accessible, culturally attuned care to people of any of race, ethnicity, color, body size, religious or spiritual belief, cultural background, or available economic resources.

In 2025, Tessa relocated to Philadelphia and is serving clients through this website in the greater Philly area. Emmy continues to see clients within 45 minutes of Plainfield, VT. Please visit Threshold Midwives Vermont for more info or to work with Emmy.

Because all people should have access to personalized, comprehensive, holistic, and dignified care for the full spectrum of reproductive and generative experiences.

 

  • Fertility + Insemination

    I support all folks, but especially queer, trans and solo-parents by choice in all aspects of family building. From choosing a sperm donor, to tracking fertile cycles, to holistic preconception preparation, to home insemination - all with the grounded, individualized, gentle care of a midwife.

    Family Building

  • Prenatal + Postpartum Care

    Comprehensive, individualized, and holistic midwifery care for your pregnancy, birth, and postpartum experiences. I monitor you and your baby’s physical and emotional well-being with hour-long appointments, on call availability, and evidence based care.

    Prenatal + Postpartum

  • Holistic Herbal Consultations

    One-on-one holistic care, blending herbal medicine, somatic support, with midwifery. I specialize in fertility, hormonal, menstrual, and nervous system health, but all are welcome in my practice. I also offer mentoring for herbalists working with folks in the childbearing years.

    Herbal Consultations

  • Community Education

    I teach workshops and classes to empower people to understand and experience their bodies more fully while building respectful, reciprocal relationships with our earth and our collective well-being. Upcoming classes include: Oxytocic Herbs (July 2025) and Herbs for Birthworkers (September 2025).

    Classes + Workshops