Certification Exam
Educators and Birth Professionals

How to Become an LCCE Educator

Are you considering applying for the Lamaze certification exam? From when and where the exam takes place, to how the questions are developed and scored, keep reading to learn everything you need to know before applying to become an LCCE educator. Please note, your application must be submitted using your full legal name (as it appears on your government issued ID). If your account is not currently listed as such, please update it prior to submitting an application. 


Mark Your Calendar

In 2024, Lamaze will offer two exam administrations – the first in the spring and the second in the fall.

2024 Exam Testing Windows Application Opens Application Closes
June 3 - July 3, 2024 (English and Spanish) February 7, 2024 April 17, 2024
October 23-November 20, 2024 (English and Spanish) August 21, 2024 September 25, 2024

* Fill out the form on this webpage to subscribe to our candidate pipeline list and receive email updates, if you do not receive them currently.

After an application for examination is accepted, a Notice to Schedule (NTS) will be sent via email about one month prior to the examination window opening. The NTS will include the scheduling web link, your username, and your password. When you access the online scheduling system with your username and password, you will be able to choose an exam site, date and time from the list of available sites. Please note that appointment times and site locations are on a first-come, first-served basis, and may vary in availability with each exam window.

Testing Site Options

Testing site options include:

  • Live Online Proctoring: Take the exam in the convenience of your own home, office or other approved testing setting that meets the technical requirements to take the exam via Live Online Proctoring.
    • After Lamaze has approved your exam application, you will receive an email from Meazure Learning with your "Notice to Schedule". This email will be sent no earlier than one month prior to the opening of the testing period. Within the Notice to Schedule, you will receive a scheduling URL, a username and password.
    • On Exam Day or for technical support: (available 24 hours a day)
      • Use the chat option in the bottom right corner of your ProctorU account or
      • Call 855-772-8678
  • In-Person Testing Center
    • After Lamaze has approved your exam application, you will receive an email from Meazure Learning with your “Notice to Schedule”.
    • We recommend that you access the scheduling web link as soon as you receive your NTS to schedule your appointment, as scheduling is done on a first-come, first-served basis. Waiting to schedule your test appointment may significantly limit the date/time availability at the test center of your choice. All available testing locations and dates will be presented to you on the scheduling web link.
    • Within three business days of submitting your scheduling request, you will receive a scheduling confirmation email. The scheduling confirmation, plus government-issued photo identification with signature, must be presented to the proctor in order to gain admission to the testing center.
    • If the site and date you requested is no longer available, you will receive an email notice allowing you to choose another site and date option.

If you have any questions regarding your scheduled exam appointment, please contact Meazure Learning at (855) 772-8678. If you are unable to find a testing site in your area, please call (202) 367-1196 and select "Certification" or email candidatesupport@meazurelearning.com, and a staff member will assist you.

Format and Test Regulations

The exam contains 165 multiple-choice questions, which must be completed within three hours. The Exam Blueprint provides a breakdown of the content covered on the exam.

Test Center (Onsite):

Prepare for the Exam at a Test Center by reviewing Meazure Learning resources below:

Candidate Instructions

What to Expect- General Registration and Testing Process

  • No conversing, distracting or disrupting other test takers during the testing session.
  • No giving or receiving unauthorized assistance on the exam.
  • Electronic devices and recording devices of any kind (including but not limited to cell phones, pagers, cameras) are NOT permitted in Meazure testing centers.
  • Calculators are not allowed.
  • Removing items such as dry-erase board and/or scratch paper from the testing center.
  • You are not allowed to take a break while testing.
  • NO personal items should be brought to the testing centers, including writing utensils. Meazure will not be responsible for any personal items and suggests that you leave such items in another safe place of your choosing.
  • You must present valid, unexpired and acceptable ID(s) in order to take your test. Military IDs are not accepted.
  • Meazure requires all employees and test takers to conduct themselves in a professional and courteous manner at all times. Exhibiting abusive behavior towards a proctor or other candidates will be reported to Lamaze and may result in criminal prosecution.
  • You must arrive at the test center 15 minutes prior to your test appointment to allow time for check-in. Candidates will not be permitted to test if they arrive more than 15 minutes past their test start time.
  • Persons not booked to take a test are not permitted to wait in the testing center or surrounding common areas.
  • You may not exit the building or use your cell phone or other electronic devices during the test.
  • If the proctor determines that you have brought any prohibited items to the test site, those items may be demanded and held by Meazure Learning testing staff. Meazure Learning reserves the right to review the memory of any electronic device to determine whether any of the test materials have been photographed or otherwise copied.

Online Proctored (Live):

Prepare for the Exam via Live Online Proctoring by reviewing Meazure Learning resources linked below:

Live Online Proctoring FAQ

What to Expect on Exam Day   

  • Take the necessary steps to ensure the room in which you will take the exam via Live Online Proctoring meets the proper requirements.
  • Unpermitted Testing Locations
  • All candidates are prohibited from having the following items in the room in which they are testing:
  • Headphones or earbuds,
  • Watches of any kind,
  • Cameras, cell phones, optical readers, or other electronic devices that include the ability to photograph, photocopy or otherwise copy test materials,
  • Book bags, luggage, purses or handbags,
  • Additional computers, monitors, PDAs, iPods, mp3 players, pagers, or other electronic devices with one or more memories,
  • Coats and jackets (Please note that sweaters and sweatshirts without pockets or hoods are permitted.)
  • Hats, hoods, or other headwear are not permitted in the examination room unless required for religious purposes. All items are subject to inspection by the proctor if suspicious behavior is detected.
  • Any person, including friends, relatives, pets, and children
  • The following items are prohibited unless expressly permitted in the exam specific information section below:
    • Calculators
    • Scratch paper/Whiteboard
    • Notes, books, dictionaries, or language dictionaries
    • Personal writing utensils (i.e., pencils, pens, and highlighters)
    • Food

On Exam Day or for technical support: (available 24 hours a day)

Use the chat option in the bottom right corner of your ProctorU account or

Call 855-772-8678


The cost for United States candidates is $475. Find costs for candidates outside the United States.

The fee includes Lamaze International membership for three years, pending successful completion of the exam.

Exam application fees are non-refundable. All Lamaze International Childbirth Educator Certification policies, fees and requirements are subject to change without notice.


If a candidate does not successfully pass the exam, they are eligible to retake it in any language and in any form (CBT and PBT) as early as the next time 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. The 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, they must submit a request  within the Certification Center at least two weeks prior to the exam date. Candidates may defer or transfer their exam application and fee for up to two exam periods. Each exam deferral will incur a $75 fee due prior to the next exam. There are no refunds for Certificate Exam payments. Exam cancellations and transfers are reviewed on a case-by-case basis.

Exam Questions and Scoring

Questions: Questions reflect essential information that a childbirth educator should know. Lamaze Certified Childbirth Educators from around the world work together to develop the test questions (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: 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.


Purpose: The purpose of this policy is to provide a clear mechanism for review and appeal when an individual questions a decision of the Lamaze International Certification Council.

Procedure for examination challenges: This procedure applies to questions regarding a test question on the Lamaze Certification Examination, test procedure, and test scores.

1. Should a candidate who took a paper/ pencil version of the exam question his/her score on the examination, he/she may submit a written request for his/her exam to be hand-scored. Such a request must be made within 30 days of the date on which the score report was sent to the individual. The written appeal must be accompanied by a copy of the original score report and all appropriate fees. The determination of the appeal will be hand-scored and results will be sent to the individual within 30 days of the original date of the request. Hand-scoring is not available for candidates who took the examination in the computer-based testing format. Computer-based testing candidates can appeal their score. Upon receiving the appeal, the Psychometrician and staff will ensure no irregularities in the computer program and/or the original test submission.

2. Candidates may comment about the test itself by completing the comment form at the end of every examination. Alternatively, candidates are encouraged to submit comments in writing (email accepted) to the administrative staff no later than fourteen (14) days after taking the examination.

  • Comments regarding the examination will be reviewed by the administrative staff, exam review committee and testing company personnel, when applicable. Any action items will be sent to the certification council to determine how to handle the comment/issue. Whether remedial action is necessary will be determined by the Certification Council based upon the nature and severity of the situation. The decision of the Certification Council is final. The Certification Council Chair will respond to the individual submitting the comment within thirty (30) days of receipt.
  • The potential changes resulting from a challenge to a test question are generally limited to amending or eliminating the question.
  • Regarding test administration complaints, the Certification Council will consider remedial action generally only if a negative effect upon group scores is found. The potential recourse available to affected candidates is limited to a waiver or reduction of fees for a re-take of the examination.
  • In the event of an examination irregularity on the part of a candidate, the Certification Council may withhold an examination score pending resolution of the matter. It may cancel an examination score if there is adequate reason to question its validity because of misconduct or other circumstances. Misconduct may also be grounds for further action in accordance with the Disciplinary Action policy.

3. For security reasons, examination materials (scored answer sheets, test books, computer applications, etc.) are not open to public inspection or review by a candidate.

4. A passing score is required for certification in all instances. Failure to pass the examination may not be appealed.

Procedure for other grievances: The following procedure is established for handling grievances which may occur related to certification (other than examination challenges):

1. To initiate the review process, an individual must submit a written notice describing the situation to the Certification Council Chair within sixty (60) days of the date on which the decision of the Lamaze International Certification Council is sent to the individual.

2. The Chair of the Certification Council will review the written notice of a grievance and respond to the individual submitting the grievance within thirty (30) days of receipt of the written notice.

3. In the event that the individual wishes to appeal the decision of the Chair of the Certification Council, she must submit the reason for the appeal in writing within ten (10) days of notification regarding the decision to the Chair.

4. The Chair will refer all such complaints raised in a timely manner to an Ad Hoc Review Committee. Upon referral to the Ad Hoc Review Committee, the grieving individual will be notified in writing and will have thirty (30) days to submit a written statement or other material for review by the Committee.

5. The Ad Hoc Review Committee will be composed of three (3) individuals; an LCCE member of the Certification Council who will serve as Chair, the public member of the Certification Council, and one LCCE educator at-large chosen from a list submitted by the grieving individual. The grieving individual shall be notified of the name of the proposed Chair of the Ad Hoc Review Committee and shall have seven (7) days from such notice to strike such person from serving as Chair if such person competes in the same geographic area with the grieving individual. If the grieving individual exercises this right to strike, the Chair of the Certification Council shall appoint another LCCE member of the Certification Council to serve as Chair of the Ad Hoc Review Committee who does not compete in the same geographic area as the grieving individual.

6. The Ad Hoc Review Committee shall review all written statements or other information submitted by the grieving individual.

7. When notified of the referral of the grievance to the Ad Hoc Review Committee, the grieving individual shall also be given notice of the right within seven (7) days to request an informal evidentiary hearing before the Chair of the Ad Hoc Review Committee (or at the option of the Chair by an LCCE educator appointed by such Chair), at which the grieving individual shall have the right to counsel. Such notices shall also include the name of the LCCE educator who will conduct a hearing if one is requested by the grieving LCCE educator. If the grieving LCCE educator exercises the option to request such a hearing, and the LCCE educator designated to conduct the hearing competes in the same geographic area as does the grieving individual, the grieving individual may within such seven (7) day period strike such LCCE educator, in which event the Chair of the Ad Hoc Review Committee shall appoint an LCCE educator who does not compete in the geographic area of the grieving individual, but who resides as close as is reasonably feasible to such area. The LCCE educator so chosen shall within six (6) weeks conduct the hearing and submit a written report to the Ad Hoc Review Committee for its review.

8. The Ad Hoc Review Committee shall issue its opinion either as: (1) that reasonable evidence exists to support the contention of the individual submitting the grievance or, (2) that reasonable evidence does not exist to support a grievance.

9. In the event the Ad Hoc Review Committee determines that reasonable evidence does not exist to support the grievance, this decision shall be final.

10. In the event that the Ad Hoc Review Committee finds that reasonable evidence does exist to support a grievance, this finding and all evidence shall be submitted to the Governing Body of the Certification Council who shall then consider all the background, and make a final decision. The Ad Hoc Review Committee will recommend an appropriate response to the grievance.

11. Any determination of the Governing Body of the Certification Council shall be final. A final decision on the issue raised by the individual submitting the complaint shall be made within ninety (90) days from the date on which the grievance review process is initiated, and communicated to the grieving individual.

Exam Preparation

  • The Lamaze Exam Blueprint contains valuable information on the competencies assessed on the exam as well as their respective weights. El modelo del examen también está disponible en español.​
  • Learning Guide
  • Online Education
  • Practice Test: Includes 50 practice questions to prepare test-takers for the official LCCE exam. In this course, learners will have the opportunity to interact with LCCE certification exam questions and test their knowledge of the Lamaze competencies. Question rationales, corresponding competencies, and references are available for each test item. 
  • Exam Preparation Toolkit: Provides guidance on how to study, what to study, how the exam is scored, exam logistics, and a test blueprint. 
  • Recommended Readings

Testing Accommodations

Lamaze and its testing agency comply with the provisions of the Americans with Disabilities Act (ADA) (42 USCG Section 12101, et. seq.), and with Title VII of the Civil Rights Act, as amended (42 U.S.C. 2000e, et. seq.). Lamaze uses the guidelines put forth in the documents listed above to address similar requests made by candidates outside the United States. Any individual who has a physical or cognitive impairment or limitation that prevents him/her from taking the exam under standard testing conditions may request special testing accommodations. The types of accommodations that may be provided include a person to read and/or mark the answer sheet, extended testing time, and/or a separate testing room.

A request for testing accommodations must be submitted to Lamaze as part of your exam application. Testing accommodations approved by Lamaze will be transmitted to Meazure along with your testing authorization.

Testing accommodations requests must include a separate formal letter describing each of the following:

  • Candidate’s disability or special need
  • Adaptations the candidate is requesting
  • Documentation from a physician or other appropriate diagnostic authority concerning the disability and special needs

Documentation from a physician or appropriate authority (e.g., psychologist, vocational specialist, etc.) is required to approve the candidate’s testing accommodation request. After reviewing requests, Lamaze will confirm your request. Lamaze makes every effort to assist with testing accommodation, except when it may alter the exam or results, or if it causes an undue burden on the testing center. There is no additional charge for testing accommodations.

Still have questions? Our certification team is here to help! Email us at certification@lamaze.org.