In the 2019 FIFA Women's World Cup qualification process, one spot in the final tournament was allocated to the winner of a two-legged home-and-away play-off between the fourth-placed team from CONCACAF (Panama) and the third-placed team from CONMEBOL (Argentina).
Qualified teams
Summary
The draw for the order of legs was held on 9 June 2018 in Zürich during a meeting between the secretary generals of CONCACAF and CONMEBOL. Argentina were drawn to host the first leg, while Panama (the identity of the team from CONCACAF was not known at time of draw) were drawn to host the second leg.
The matches took place on 8 and 13 November 2018, during the women's international match calendar period.
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Matches
Argentina won 5–1 on aggregate and qualified for the 2019 FIFA Women's World Cup.