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Date: 22 September 1988 / 22 September 1988
Heats
Final
| Rank | Name | Nation | Time |
| 1 | Janet Evans | USA | 4:03.85 |
| 2 | Heike Friedrich | GDR | 4:05.94 |
| 3 | Anke Moehring | GDR | 4:06.62 |
| 4 | Tami Bruce | USA | 4:08.16 |
| 5 | Janelle Elford | AUS | 4:10.64 |
| 6 | Isabelle Arnould | BEL | 4:11.73 |
| 7 | Stephanie Ortwig | FRG | 4:13.05 |
| 8 | Natalia Trefilova | URS | 4:13.92 |
| 9 | Sheridan Burge-Lopez | AUS | 4:10.21 |
| 10 | Noemi Ildiko Lung | ROU | 4:11.68 |
| 11 | Stela Marian Pura | ROU | 4:12.14 |
| 12 | Antoaneta Strumenlieva | BUL | 4:13.43 |
| 13 | Patricia Noall | CAN | 4:14.70 |
| 14 | Manuela Melchiorri | ITA | 4:14.90 |
| 15 | Chikako Nakamori | JPN | 4:15.59 |
| 16 | Cecile Prunier | FRA | 4:21.03 |
| Heats | |||
| 17 | Irene Dalby | NOR | 4:16.22 |
| 18 | Ruth Gilfillan | GBR | 4:16.66 |
| 19 | Tomomi Hosoda | JPN | 4:17.30 |
| 20 | Eva Mortensen | DEN | 4:18.06 |
| 21 | Yan Ming | CHN | 4:18.58 |
| 22 | Alexandra Russ | FRG | 4:18.67 |
| 23 | Huda Abdullah Nurul | MAS | 4:19.33 |
| 24 | Patricia Amorim | BRA | 4:19.64 |
| 25 | Christelle Janssens | BEL | 4:19.95 |
| 26 | Pernille P. Jensen | DEN | 4:20.96 |
| 27 | June Croft | GBR | 4:21.98 |
| 28 | Rita Garay Massey | PUR | 4:24.84 |
| 29 | Judit Csabai | HUN | 4:25.52 |
| 30 | Senda Gharbi | TUN | 4:34.67 |