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How to Become an LCCE Educator

The childbirth educator certification exam application process begins after the candidate has successfully met the eligibility requirements for one of the pathways. Click here to download our pathway infographic and see which track applies to you.

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2019 Critical Dates

Exam Period

Exam Registration Opens

International and Alt. Site 
Application Deadline 

Exam Registration Closes

Exam Results Available

May 2-6, 2019 Jan. 15 April 5 April 12 6-8 Weeks
Nov. 7-11, 2019 July 15 Oct. 11 Oct. 18 6-8 Weeks

NOTE: Exams in languages other than English can be requested and administered in the November examination only. Please visit our examination language and translation policy page for more information.

Administration LEARN MORE 

The Lamaze Certification Exam is offered twice a year at PSI testing sites and remotely for international candidates and those in remote areas. Please click here to find the closest site to you. Candidates will pick one testing date only – US candidates will receive an email from PSI within a week of the registration deadline. Note that you will only be able to secure a date and location once you receive this email.


The exam contains 150 multiple choice questions which must be completed within three hours. For a breakdown of the content covered on the exam, please download our exam blueprint.


The cost for U.S. candidates is $395. 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. 

The exam registration fee also covers three years of membership to Lamaze International membership following successful completion of the exam. When you recertify, you automatically renew your Lamaze membership. 

Click here for international pricing information.

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).

Group A: Australia, Canada, Hong Kong, Israel, Japan, Republic of Korea, United Kingdom, United States
Exam Fee: $395

Group B: Argentina, Chile, Mexico, Romania
Exam Fee: $365

Group C: China, India, Philippines
Exam Fee: $345

Group D: Haiti, Kenya, Nigeria
Exam Fee: $330

NOTE: If you do not see your country listed, please visit Exam Dues Structure or contact us by email.


If a candidate does not successfully pass the exam, the candidate can apply to retake the exam with no required remediation. These candidates are eligible to retake the exam, in any language and in any form (CBT and PBT) as early as the next registration period at which the selected language is offered. There is no required waiting period and no limit on the amount of times a candidate can retake the exam. Exam retake fee is $170 for Lamaze Members and $270 for Non-Members.


If a candidate needs to cancel or transfer their application to the next exam date, she/he must submit a request via email 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 deferral will incur a $75 deferment fee and must be paid prior to the next exam administration. There are no refunds for Certificate Exam payments. Exam cancellations and transfers are reviewed on a case-by-case basis.

Exam Questions/Scoring LEARN MORE

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.

International Candidates LEARN MORE

If you are overseas or located in a remote area (more than 150 miles away from a PSI testing center), you have the options of taking the exam under the supervision of a proctor. The proctor is selected by the candidate and must not be a LCCE, relative, or person who presents a conflict of interest (such as an employer). Click here for eligibility guidelines. On the exam application, the candidate will pick “alternate site” if taking the exam remotely. In addition, a proctor form must be submitted as part of the exam application.