The placenta is the principal organ regulating respiratory, nutritional, endocrine and metabolic functions on behalf of the developing fetus. Changes in gene expression patterns of placenta-specific genes may influence fetal growth. We profiled the expression of 17 genes related to placenta functioning in term placentas (n = 677) to identify genes differentially expressed across birth weight categories [small (SGA), appropriate (AGA) and large (LGA) for gestational age]. ABCG2, CEBPB, CRH, GCM1, GPC3, INSL4, PGF and PLAC1 were inversely associated with LGA status, with odds ratios (ORs) and 95% confidence intervals (CI) ranging from GCM1 (OR = 0.44, 95% CI: 0.29, 0.70) to CRH (OR = 0.73, 95% CI: 0.61, 0.88). NR3C1 was positively associated with LGA status (OR = 2.33, 95% CI: 1.43, 3.78). PLAC1 (OR = 0.66, 95% CI: 0.47, 0.92) and ABCG2 (OR = 0.63, 95% CI: 0.44, 0.91) were additionally inversely associated with SGA status, and PGF was positively associated with SGA status (OR = 1.59, 95% CI = 1.08, 2.35). General trends were confirmed in an independent cohort (n = 306). Given that aberrant fetal growth may have long-lasting effects, our results suggest the potential utility of placental gene expression profiles as potential early markers of disease onset later in life.