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Date: 24 September 1988
Summary
Heat 1
| Rank | Name | Nation | Time |
| 1 | Nicole Livingstone; Lara Hooiveld; Fiona Alessandri; Karen Van Wirdum | AUS | 4:14.32 |
| 2 | Lorenza Vigarani; Manuela dalla Valle; Ilaria Tocchini; Silvia Persi | ITA | 4:14.68 |
| 3 | Satoko Morishita; Yoshie Nishioka; Kiyomi Takahashi; Ayako Nakano | JPN | 4:18.88 |
| 4 | Natalia Autric; Silvia Parera Carrau; Maria Luisa Fernandez Diaz; Amaia Garbayo | ESP | 4:21.84 |
| 5 | Wang Chi; Seto Carwai; Chang Hui-Chien; Chen Y.F. Kim Berly | TPE | 4:39.49 |
| Disqualified | |||
| Yang Wenyi; Huang Xiaomin; Qian Hong; Zhuang Yong | CHN | ||
| Rank | Name | Nation | Time |
| 1 | Cornelia Sirch; Silke Hoerner; Birte Weigang; Manuela Stellmach | GDR | 4:08.53 |
| 2 | Lori Melien; Keltie Duggan; Jane Kerr; Patricia Noall | CAN | 4:14.23 |
| 3 | Bistra Gospodinova; Tania Dangalakova; Neviana Miteva; Natacha Hristova | BUL | 4:15.22 |
| 4 | Johanna Larsson; Annakarin Persson; Agneta Eriksson; Eva Nyberg | SWE | 4:17.72 |
| 5 | Silvia Poll; Sigrid Niehaus; Marcela Cuesta; Carolina Mauri | CRC | 4:31.75 |
| Disqualified | |||
| Mette Jacobsen; Pia Sorensen; Annette M. Jorgensen; Gitta Jensen | DEN | ||
| Rank | Name | Nation | Time |
| 1 | Betsy Mitchell; Tracey McFarlane; Mary T. Meagher; Dara Torres | USA | 4:10.38 |
| 2 | Jolanda de Rover; Linda Moes; Conny van Bentum; Karin Brienesse | NED | 4:11.82 |
| 3 | Svenja Schlicht; Britta Dahm; Gabi Rehaa; Marion Aizpors | FRG | 4:13.19 |
| 4 | Kathy Read; Susannah Brownsdon; Caroline Foot; Joanna Coull | GBR | 4:16.18 |
| 5 | Laurence Guillou; Pascaline Louvrier; Catherine Plewinski; Jacqueline Delord | FRA | 4:16.21 |
| 6 | Hong Ji-Hee; Park Sung-Won; Lee Hong-Mi; Han Young-Hee | KOR | 4:28.90 |