Threshold Community Midwives is a home birth midwifery 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. We now have two locations: Emmy is supporting clients in central Vermont and Tessa is supporting clients in Philadelphia.

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 (at the 6 week postpartum visit).

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 offers home insemination (IUI), prenatal/postpartum support as well as virtual preconception care and herbal. Please contact Threshold Midwives Philly for more information. You can sign up for Tessa's newsletter here.

Emmy continues to see clients within 45 minutes of Plainfield, VT. Please contact Threshold Midwives Vermont for more info.