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Date: 20 August 2010
Summary
Heat 1
| Rank | Name | Nation | Time |
| 1 | Nesrine Khelifati | TUN | 4:37.37 |
| 2 | Saskia Postma | ARU | 4:41.63 |
| 3 | Karlene van der Jagt | SUR | 4:45.03 |
| Rank | Name | Nation | Time |
| 1 | Kiera Janzen | USA | 4:18.36 |
| 1 | Stefania Pirozzi | ITA | 4:18.36 |
| 3 | Annick van Westendorp | SUI | 4:20.17 |
| 4 | Simona Marinova | MKD | 4:25.31 |
| 5 | Andrea Cedron | PER | 4:27.26 |
| 6 | Shahd Mostafa | EGY | 4:27.48 |
| 7 | Kaori Miyahara | PER | 4:29.27 |
| 8 | Marija Joksimovic | SRB | 4:32.25 |
| Rank | Name | Nation | Time |
| 1 | Eleanor Faulkner | GBR | 4:14.75 |
| 2 | Jordan Mattern | USA | 4:19.51 |
| 3 | Anna Olasz | HUN | 4:19.71 |
| 4 | Inga Elin Cryer | ISL | 4:28.68 |
| 5 | Wei Li Lai | MAS | 4:30.92 |
| 6 | Natasha de Vos | RSA | 4:33.68 |
| 7 | Shannon Austin | SEY | 4:34.81 |
| Did not start | |||
| Emma McKeon | AUS | ||
| Rank | Name | Nation | Time |
| 1 | Boglarka Kapas | HUN | 4:16.02 |
| 2 | Claudia Dasca | ESP | 4:18.02 |
| 3 | Julia Hassler | LIE | 4:18.59 |
| 4 | Chloe Francis | NZL | 4:22.59 |
| 5 | Julia Gerotto | BRA | 4:23.71 |
| 6 | Lauren Earp | CAN | 4:26.47 |
| 7 | Jurate Scerbinskaite | LTU | 4:33.08 |
| 8 | Chriselle Wyn Jia Koh | SIN | 4:34.28 |