Final Ranking | time | | 1. Gotytom Gebreslase | Ethiopia | 2:18:11 | CR | 2. Judith Korir | Kenya | 2:18:20 | PB | 3. Lonah Chemtai Salpeter | Israel | 2:20:18 | - | 4. Nazret Weldu | Eritrea | 2:20:29 | NR | 5. Sara Hall | United States | 2:22:10 | SB | 6. Angela Tanui | Kenya | 2:22:15 | - | 7. Emma Bates | United States | 2:23:18 | PB | 8. Keira D'Amato | United States | 2:23:34 | - | 9. Mizuki Matsuda | Japan | 2:23:49 | - | 10.Citlali Moscote | Mexico | 2:26:33 | - | 11.Zhang Deshun | China | 2:28:11 | - | 12.Jess Piasecki | Great Britain NI | 2:28:41 | - | 13.Leslie Sexton | Canada | 2:28:52 | SB | 14.Sarah Klein | Australia | 2:30:10 | SB | 15.Militsa Mircheva | Bulgaria | 2:30:20 | - | 16.Alisa Vainio | Finland | 2:30:29 | - | 17.Tereza Hrochová | Czech Republic | 2:30:39 | SB | 18.Risper Gesabwa | Mexico | 2:30:47 | SB | 19.Mieke Gorissen | Belgium | 2:31:06 | SB | 20.Beverly Ramos | Puerto Rico | 2:31:10 | NR | 21.Zhanna Mamazhanova | Kazakhstan | 2:31:15 | - | 22.Li Zhixuan | China | 2:31:20 | SB | 23.Maor Tiyouri | Israel | 2:31:54 | PB | 24.Hanna Lindholm | Sweden | 2:32:08 | PB | 25.Carolina Wikström | Sweden | 2:32:24 | - | 26.Kinsey Middleton | Canada | 2:32:56 | - | 27.Élissa Legault | Canada | 2:37:35 | - | 28.Adrijana Pop Arsova | North Macedonia | 2:41:20 | - | 29.Kit Ching Yiu | Hong Kong | 2:43:13 | SB | 30.Munkhzaya Bayartsogt | Mongolia | 2:46:09 | - | 31.Chun-yu Tsao | Chinese Taipei | 2:47:02 | SB | 32.Aydee Huaman | Peru | 3:04:16 | SB | -. Ashete Bekere | Ethiopia | DNF | - | -. Andrea Bonilla | Colombia | DNF | - | -. Rosa Chacha | Colombia | DNF | - | -. Immaculate Chemutai | Uganda | DNF | - | -. Ruth Chepngetich | Kenya | DNF | - | -. Rose Harvey | Great Britain NI | DNF | - | -. Charlotte Purdue | Great Britain NI | DNF | - | -. Ababel Yeshaneh | Ethiopia | DNF | - | -. Hitomi Niiya | Japan | DNS | - |
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| Start: 06:14 Temperature: 10° C Humidity: 90% | End: 09:19 Temperature: 16° C Humidity: 75% | 48 Competitors from 26 Nations. Quota 100. | Entry Standard: 2:29.30. |
Intermediate Times: | 10km: Ruth Chepngetich (KEN) 32:39 | 20km: Gotytom Gebreslase (ETH) 1:05.36 | Half: Ababel Yeshaneh (ETH) 1:09:01 | 30km: Judith Korir (KEN) 1:38:08 | 40km: Judith Korir (KEN) 2:11:17 |
World Record: Brigid Kosgei, Kenya 2:14:04 Chicago, United States 13 October 2019 | Championship Record: Paula Radcliffe, Great Britain 2:20:57 Helsinki, Finland 14 August 2005 | World Leading: Brigid Kosgei, Kenya 2:16:02 Tokyo, Japan 6 March 2022 | African Record: Brigid Kosgei, Kenya 2:14:04 Chicago, United States 13 October 2019 | Asian Record: Mizuki Noguchi. Japan 2:19:12 Berlin, Germany 25 September 2005 | North, Central American and Caribbean Record: Keira D'Amato, United States 2:19:12 | Houston, United States 16 January 2022 | South American Record: Gladys Tejeda, Peru 2:25:57 Seville, Spain 20 February 2022 | European Record: Paula Radcliffe, Great Britain 2:15:25 London, Great Britain 13 April 2003 | Oceanian Record: Benita Willis-Johnson, Australia 2:22:36 Chicago, United States 22 October 2006 |
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