From UEFA, Italy qualified by defeating Ukraine and Switzerland in repechage play-offs.

Italy had been defeated by France in the direct qualification stage in UEFA.

From CONCACAF, the United States qualified by defeating Costa Rica in the third-place play-off.

The draw for the order of legs was held at the FIFA headquarters in Zürich, Switzerland on 17 March 2010.

[1] United States won 2–0 on aggregate and qualified for the 2011 FIFA Women's World Cup.