| Final: Start time: 07:46 +1 UTC, Temperature 14° C, Humidity 72% _ End time: 12:12 +1 UTC Temperature 15° C, Humidity 67 |
| Final Ranking | time | | gap | pen | bib | | 1. Inês Henriques |  POR | 4:05:56 | WR | | | 224 | | 2. Hang Yin |  CHN | 4:08:58 | AR | +3:02 | | 125 | | 3. Shuqing Yang | CHN | 4:20:49 | PB | +14:53 | | 124 | | 4. Kathleen Burnett |  USA | 4:21:51 | AR | +15:55 | | 253 | | 5. Nair Da Rosa |  BRA | DNF* | | | > | 111 | | 6. Susan Randall | USA | DNF* | | | > | 265 | | -. Erin Talcott | USA | DSQ R 230.6[a] | -> > > | 259 |
DNF* - Beyond Time Limit.
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| | | Qualifiyng standard: 4:30:00 | | Entries administered by Entry Standard only - no invitation by rankings. |
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| Intermediate times: | | 5km: Hang Yin (CHN) 24:43 | | 10km: Inês Henriques (POR) 1:04:00 | | 15km: Inês Henriques (POR) 1:13:43 | | 20km: Inês Henriques (POR) 1:37:59 | | 25km: Inês Henriques (POR) 2:02:18 | | 30km: Inês Henriques (POR) 2:26:35 | | 35km: Inês Henriques (POR) 2:50:52 | | 40km: Inês Henriques (POR) 3:15:14 | | 45km: Inês Henriques (POR) 3:39:56 |
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| Record | Athlete | mark | venue | date | | World Record | Inês Henriques (POR) | 4:08:26 | Porto de Mos, Portugal | 15 January 2017 | | Championship Record | New event | | World Leading | Inês Henriques (POR) | 4:08:26 | Porto de Mos, Portugal | 15 January 2017 | | African Record | No registered time. | | Asian Record | Zhou Knag (CHN) | 4:34:01 | Huangshan, China | 6 March 2016 | | NorCeCa Record | Erin Talcott (USA) | 4:33:22 | Santee, United States | 22 January 2012 | | South American Record | Edilaine Reich (BRA) | 5:31:40 | Hillingdon, Great Britain | 2 October 2016 | | European Record | Inês Henriques (POR) | 4:08:26 | Porto de Mos, Portugal | 15 January 2017 | | Oceanian Record | No registered time. |
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| | | Entries administered by Entry Standard only - no invitation by rankings: 7 Athletes. 4 Countries. |
| Athlete | 2017 | best | birth | start | | -. Inês Henriques | POR | 4:08:26 | 4:08:26 | 1 May 80 | -. | | -. Hang Yin | CHN | 4:22:22 | 4:22:22 | 7 Feb 97 | -. | | -. Kathleen Burnett | USA | 4:26:37 | 4:26:37 | 7 Oct 88 | -. | | -. Shuqing Yang | CHN | 4:27:24 | 4:27:24 | 30 Aug 96 | -. | | -. Erin Talcott | USA | 4:29:33 | 4:29:33 | 21 May 78 | -. | | bellow Qualifiyng standard: 4:30:00 | | -. Nair Da Rosa | BRA | 4:39:28 | 4:39:28 | 22 Mar 80 | -. | | -. Susan Randall | USA | 4:54:12 | 4:54:12 | 6 Sep 74 | -. |
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