| Final | time |   |  | 1. China |  CHN | 7:55.17 |   |  |  Guo Junjun | 1:58.09 |   |  |  Tang Yi | 1:58.20 |   |  |  Cao Yue | 1:58.28 |   |  |  Shen Duo | 2:00.60 |   |  | 2. Japan |  JPN | 7:58.43 |   |  |  Chihiro Igarashi | 1:59.22 |   |  |  Yasuko Miyamoto | 1:58.84 |   |  |  Yayoi Matsumoto | 2:00.73 |   |  |  Aya Takano | 1:59.64 |   |  | 3. Hong Kong |  HKG | 8:04.55 |   |  |  Camille Cheng | 2:01.43 |   |  |  Stephanie Au | 2:02.56 |   |  |  Sze Hang Yu | 2:00.32 |   |  |  Siobhan Haughey | 2:00.24 |   |  | 4. South Korea |  KOR | 8:11.55 |   |  |  Lee Da-lin | 2:03.83 |   |  |  Ryu Ji-won | 2:02.98 |   |  |  Kim Ga-eul | 2:01.88 |   |  |  Kim Jung-hye | 2:02.86 |   |  | 5. Singapore |  SGP | 8:12.09 |   |  |  Lynette Lim | 2:03.59 |   |  |  Amanda Lim | 2:02.38 |   |  |  Quah Ting Wen | 2:01.16 |   |  |  Rachel Tseng | 2:04.96 |   |  | 6. Thailand |  THA | 8:16.56 |   |  |  Benjaporn Sriphanomthorn | 2:03.59 |   |  |  Sarisa Suwannachet | 2:02.17 |   |  |  Patarawadee Kittiya | 2:07.49 |   |  |  Natthanan Junkrajang | 2:03.31 |   |  | 7. Chinese Taipei |  TPE | 8:23.77 |   |  |  Yang Ming-hsuan | 2:04.24 |   |  |  Yang Chin-kuei | 2:03.26 |   |  |  Sung Hsin-yi | 2:05.93 |   |  |  Hsu An | 2:10.34 |   |  | 8. Macau |  MAC | 8:48.53 |   |  |  Tan Chi Yan | 2:08.98 |   |  |  Erica Vong | 2:13.86 |   |  |  Lei On Kei | 2:12.26 |   |  |  Ma Cheok Mei | 2:13.43 |   |   
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| Venue: Muhak Park Tae-hwan Aquatics Center. |   
| World record: China 7:42.08 Rome, Italy 30 July 2009 |  | Asian record: China 7:42.08 Rome, Italy 30 July 2009 |  | Games record: China7:51.81 Guangzhou, China 16 November 2010 |   
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