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Date: 19 August 2010 / 19 August 2010
Heats
Final
| Rank | Name | Nation | Time |
| 1 | Liu Lan; Bai Anqi; Wang Chang; Tang Yi | CHN | 3:46.64 |
| 2 | Juliane Reinhold; Lena Kalla; Dorte Baumert; Lina Rathsack | GER | 3:49.02 |
| 3 | Lindsay Delmar; Tera van Beilen; Rachel Nicol; Lauren Earp | CAN | 3:49.12 |
| 4 | Madison Wilson; Zoe Johnson; Emily Selig; Emma McKeon | AUS | 3:51.81 |
| 5 | Alessandra Marchioro; Carolina Bergamaschi; Bruna Rocha; Julia Gerotto | BRA | 3:52.86 |
| 6 | Kaitlyn Jones; Jordan Mattern; Kiera Janzen; Allison Roberts | USA | 3:54.26 |
| 7 | Agnes Bucz; Diana Ambrus; Anna Olasz; Boglarka Kapas | HUN | 3:56.42 |
| 8 | Xiang Qi Amanda Lim; Adeline Shu Jian Winata; Chriselle Wyn Jia Koh; Xin Jing Cheryl Lim | SIN | 4:00.43 |
| Heats | |||
| 9 | Kyla Ferreira; Oneida Cooper; Natasha de Vos; Taryn MacKenzie | RSA | 4:02.12 |
| 10 | Yukiko Watanabe; Mina Ochi; Maya Hamano; Mayuko Okada | JPN | 4:02.29 |
| Disqualified | |||
| Alexandra Papusha; Kristina Kochetkova; Ekaterina Andreeva; Olga Detenyuk | RUS | ||