In the first round of CONCACAF, the 20 lowest-ranked teams played home-and-away matches to determine the 10 teams who would progress to the second round of competition.
Grenada won 8–1 on aggregate and advanced to the second round.
Netherlands Antilles won 3–2 on aggregate and advanced to the second round.
Saint Kitts and Nevis won 11–0 on aggregate and advanced to the second round.
Dominican Republic won 6–0 on aggregate and advanced to the second round.