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Date: 22 September 1988
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Kristin Otto; Katrin Meissner; Daniela Hunger; Manuela Stellmach | GDR | 3:40.63 |
| 2 | Marianne Muis; Mildred Muis; Conny van Bentum; Karin Brienesse | NED | 3:43.39 |
| 3 | Mary Wayte; Mitzi Kremer; Laura Walker; Dara Torres | USA | 3:44.25 |
| 4 | Xia Fujie; Yang Wenyi; Lou Yaping; Zhuang Yong | CHN | 3:44.69 |
| 5 | Elena Dendeberova; Svetlana Issakova; Natalia Trefilova; Svetlana Koptchikova | URS | 3:44.99 |
| 6 | Kathy Bald; Patricia Noall; Andrea Nugent; Jane Kerr | CAN | 3:46.75 |
| 7 | Stephanie Ortwig; Marion Aizpors; Christiane Pielke; Karin Seick | FRG | 3:46.90 |
| 8 | Gitta Jensen; Pia Sorensen; Mette Jacobsen; Annette M. Jorgensen | DEN | 3:49.25 |