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Certification Exam

The Lamaze Certification Program meets the highest professional standards and is the ONLY childbirth educator certification program accredited by the National Commission for Certifying Agencies (NCCA).

Important Dates 

Certification Exam
The childbirth educator certification exam application process begins after the candidate has successfully completed all criteria of one of the three pathways of Eligibility Requirements.

2016 Critical Dates

Exam Dates

Exam Registration Opens

International / Alternate Site 
Application Deadline

Exam Registration Closes

Longitudinal Analysis Upload

Exam Results Available

April 13-15, 2016

January 4,2016

March 7,2016

March 14,2016


3-5 Weeks

November 3-5,

August 1,2016

September 26,2016

October 3,2016


3-5 Weeks


* Exams in languages other than English, Spanish, and Romanian can be requested and administered in the April examination only. Please visit our examination language and translation policy page for more information.

Exam Administration

The exam is administered through the PSI, a testing company with more than 500 testing centers around the continental U.S. To find a testing center near you, visit the PSI website and select Lamaze for "Sponsor Name." Click on the exam that applies to you, then follow the “Test Centers” link on the right side of the page to locate a testing site.

International Candidates in Remote Areas

All international candidates and US candidates in remote areas (more than 150mi. away from a testing center) are responsible for securing a proctor and location with stable internet connection and computer access. These candidates must apply by the International/Alternate Site application deadline stated above. Click here  to view proctor guidelines.

Exam Fees

All fees are payable in U.S. dollars to Lamaze International and must be paid in full by the application deadline. Exam fees are based on data provided by the World Bank relative to the Gross National Income (GNI) Examination fee also covers three year Lamaze International membership dues following successful completion of the exam. Once you have achieved LCCE Educator status, you will automatically become part of the Lamaze International membership.

*Group A*: Australia, Canada, Hong Kong, Israel, Japan, Republic of Korea, United Kingdom, United States
Exam Fee: $380

Group B*: Argentina, Chile, Mexico, Romania
Exam Fee: $350

Group C*: China, India, Philippines
Exam Fee: $330

Group D*: Haiti, Kenya, Nigeria
Exam Fee: $315

*If you do not see your country listed, please visit Exam Dues Structure or Contact Us.

In the event you do not successfully pass the Certification exam, the exam retake fee is $155. 

Recertification by Exam

You may choose to retake the Lamaze Certification Exam to renew your certification. The fee for recertification by exam is $255.  

Lamaze certification with three year membership is an exceptional value. See how Lamaze compares to other organizations:


Estimated fees for certification and three year membership from organization

Lamaze International





More than $600


More than $600


Incomplete or ineligible applications, or applications submitted without payment will be returned and are subject to all policies, fees and deadlines.

If a candidate needs to cancel or transfer their application to the next exam date, she/he must submit a request through the certification center at least two weeks prior to the exam date. Candidates are permitted to defer or transfer their exam application and fee for two exam administrations. Each exam deferment will incur a $75 deferment fee and must be paid prior to the next exam administration. Exam cancellations and transfers are reviewed on a case-by-case basis.

A $29 fee will be assessed on all returned checks. Exam application fees are non-refundable. All Lamaze International Childbirth Educator Certification policies, fees and requirements are subject to change without notice.

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  • 150 Multiple-Choice Questions
  • 3 Hours are Allotted for Completion

Download the Exam Blueprint

Competency Statements for LCCE Educators

  1. Competency 1: Promotes the childbearing experience as a normal, natural, and healthy process which profoundly affects women and their families.
  2. Competency 2: Assists women and their families to discover and to use strategies to facilitate normal, natural, and healthy pregnancy, birth, breastfeeding, and early parenting. 
  3. Competency 3: Helps women and their families to understand how complications and interventions influence the normal course of pregnancy, birth, breastfeeding and early postpartum.
  4. Competency 4: Provides information and support that encourages attachment between babies and their families. 
  5. Competency 5: Assists women and their families to make informed decisions for childbearing.
  6. Competency 6: Acts as an advocate to promote, support, and protect natural, safe and healthy birth.
  7. Competency 7: Designs, teaches, and evaluates a course in Lamaze preparation that increases a woman’s confidence and ability to give birth.

Questions reflect essential information that a childbirth educator should know. Lamaze Certified Childbirth Educators (LCCE) from around the world work together to develop the test items. The Certification Council makes the final selection of questions for an item bank. The level of difficulty of the item is identified at the time it is written. In general, the items that require some level of analysis, rather than simple recall of information, are considered more difficult.

Difficulty Rating
In addition, the distracters for each question are rated. A question that has more “sophisticated” distracters that require a higher level of knowledge is rated as more difficult. At least 30 percent of the questions on the certification exam are application questions that require analysis, rather than simple recall of information.

Passing Score
The passing score for the certification exam is different each time the exam is given. After each administration, a psychometrician completes a statistical analysis. The committee reviews the statistics for each test question and if a particular question does not “perform” well, it is eliminated from the scoring. The level of difficulty of the remaining items determines the passing score.

Score Standard
An important feature of this exam is that those who take the exam are not compared to each other. Rather, individuals are compared to a standard, which is based on the level of difficulty of each test item. The passing score on the exam has ranged from 70 percent to 79 percent. More detailed information regarding scoring is provided on the score report that each candidate receives following the test administration. Historical information is available in the annual Certification Exam Report, which can be viewed online.

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