| Final: Start time: 20:45 +8 UTC, Temperature 26° C, Humidity 58% _ |
| Ranking Final | time | | L | React. | | 1. Jamaica |  JAM | 41.07s | Cr | 6 | 0.164 | | Veronica Campbell-Brown, Natasha Morrison, Elaine Thompson, Shelly-Ann Fraser-Pryce | | 2. United States |  USA | 41.68s | Sb | 5 | 0.140 | | English Gardner, Allyson Felix, Jenna Prandini, Jasmine Todd | | 3. Trinidad Tobago |  TTO | 42.03s | Nr | 4 | 0.145 | | Kelly-Ann Baptiste, Michelle-Lee Ahye, Reyare Thomas, Semoy Hackett | | 4. Great Britain N.i. |  GBR | 42.10s | Nr | 7 | 0.136 | | Asha Philip3, Dina Asher-Smith, Jodie Williams, Desiree Henry | | 5. Germany |  GER | 42.64s | Sb | 3 | 0.180 | | Rebekka Haase, Alexandra Burghardt, Gina LÜckenkemper, Verena Sailer | | 6. Canada |  CAN | 43.05s | | 9 | 0.158 | | Crystal Emmanuel, Kimberly Hyacinthe, Isatu Fofanah, Khamica Bingham | | -. Russia |  RUS | DNFs | | 2 | 0.204 | | Marina Panteleyeva, Kseniya Ryzhova, Elizaveta Demirova, Anna Kukushkina | | -. Netherlands |  NED | Dq R170.7 | 8 | 0.164 | | Nadine Visser, Dafne Schippers, Naomi Sedney |
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| Rule 170.7 - Passing the baton outside the takeover zone. |
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