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Date: 9 August 2008
Summary
Heat 1
| Rank | Name | Nation | Time |
| 1 | Zhu Yingwen; Tang Yi; Xu Yanwei; Pang Jiaying | CHN | 3:36.78 |
| 2 | Meike Freitag; Antje Buschschulte; Daniela Gotz; Britta Steffen | GER | 3:37.52 |
| 3 | Cate Campbell; Alice Mills; Melanie Schlanger; Shayne Reese | AUS | 3:37.81 |
| 4 | Francesca Halsall; Caitlin McClatchey; Julia Beckett; Melanie Marshall | GBR | 3:39.18 |
| 5 | Haruka Ueda; Misaki Yamaguchi; Asami Kitagawa; Maki Mita | JPN | 3:39.25 |
| 6 | Erika Ferraioli; Federica Pellegrini; Maria Laura Simonetto; Cristina Chiuso | ITA | 3:40.42 |
| 7 | Anastasia Aksenova; Elena Sokolova; Daria Belyakina; Svetlana Karpeeva | RUS | 3:42.52 |
| 8 | Tatiana Barbosa; Flavia Cazziolato; Michelle Lenhardt; Monique Ferreira | BRA | 3:42.85 |
| Rank | Name | Nation | Time |
| 1 | Kara Lynn Joyce; Julia Smit; Emily Silver; Lacey Nymeyer | USA | 3:37.53 |
| 2 | Ranomi Kromowidjojo; Hinkelien Schreuder; Femke Heemskerk; Manon van Rooijen | NED | 3:37.61 |
| 3 | Celine Couderc; Hanna Shcherba-Lorgeril; Ophelie-Cyrielle Etienne; Alena Popchanka | FRA | 3:37.76 |
| 4 | Julia Wilkinson; Erica Morningstar; Genevieve Saumur; Audrey Lacroix | CAN | 3:38.82 |
| 5 | Ida Marko-Varga; Therese Alshammar; Anna-Karin Kammerling; Claire Hedenskog | SWE | 3:40.52 |
| 6 | Darya Stepanyuk; Kateryna Dikidzhi; Ganna Dzerkal; Nataliya Khudyakova | UKR | 3:44.72 |
| 7 | Melissa Corfe; Wendy Trott; Mandy Loots; Katheryn Meaklim | RSA | 3:51.14 |