| Order / Lane | Bib | ATHLETE | COUNTRY | PB | SB 2018 | 
|---|---|---|---|---|---|
| 1 | 702 | Claire Woods |  AUS | ||
| 2 | 703 | Nadzeya DARAZHUK |  BLR | ||
| 3 | 704 | Nastassia Yatsevich |  BLR | ||
| 4 | 705 | Nair DA ROSA |  BRA | 4:38:48 | 4:38:48 | 
| 5 | 706 | Maocuo LI |  CHN | 4:47:28 | |
| 6 | 707 | Rui LIANG |  CHN | ||
| 7 | 708 | Faying MA |  CHN | 4:49:54 | |
| 8 | 709 | Hang Yin |  CHN | 4:08:58 | |
| 9 | 710 | Kang Zhou |  CHN | 4:34:01 | |
| 10 | 711 | Magaly Beatriz BONILLA |  ECU | 4:19:43 | 4:19:43 | 
| 11 | 712 | Johana ORDÓŇEZ |  ECU | 4:28:58 | 4:28:58 | 
| 12 | 713 | Paola PÉREZ |  ECU | ||
| 13 | 714 | Mar JUÁREZ |  ESP | ||
| 14 | 715 | María Larios |  ESP | ||
| 15 | 716 | Ainhoa Pinedo |  ESP | 4:18:56 | 4:18:56 | 
| 16 | 717 | Júlia TAKÁCS |  ESP | 4:13:04 | 4:13:04 | 
| 17 | 718 | Tiia KUIKKA |  FIN | ||
| 18 | 719 | Lucie Barritault |  FRA | ||
| 19 | 720 | Maeva Casale |  FRA | ||
| 20 | 721 | Mayra PÉREZ |  GUA | 4:15:42 | |
| 21 | 722 | Mariavittoria BECCHETTI |  ITA | ||
| 22 | 723 | Jocy CABALLERO |  PER | 4:42:37 | 4:42:37 | 
| 23 | 724 | Inês HENRIQUES |  POR | 4:05:56 | |
| 24 | 725 | Natalie Le Roux |  RSA | 4:54:33 | |
| 25 | 726 | Kseniya Radko |  UKR | 4:34:49 | |
| 26 | 727 | Alina TSVILII |  UKR | ||
| 27 | 728 | Vasylyna SYDORCHUK |  UKR | 4:37:55 | |
| 28 | 729 | Lyudmyla Shelest |  UKR | 4:32:36 | |
| 29 | 730 | Khrystyna Yudkina |  UKR | 4:32:14 | |
| 30 | 731 | Katie BURNETT |  USA | 4:21:51 | 4:47:50 | 
| 31 | 732 | Susan Randall |  USA | 4:42:34 | |
| 32 | 733 | Erin TAYLOR TALCOTT |  USA | 4:29:33 | 4:54:39 |