Before uterine transplants, these women could only adopt children, or use a surrogate.
It detailed how five months after the transplant, the uterus showed no signs of rejection, ultrasound scans were normal, and the recipient was having regular menstruation.
The first baby born from a woman who recieved a uterus transplant from a dead donor is healthy a year on. Seven months after the transplant, the woman's fertilized eggs were implanted into the uterus, resulting in pregnancy.
The uterus was taken from a 45-year-old donor who had died from a brain haemorrhage.
While babies born from live donor uterus transplants have been done almost a dozen times before, including once in 2017 at Baylor Scott & White Hospital in Dallas, this birth marks the first time doctors have been able to remove the uterus from a recently deceased donor and have it result in a live birth.
There has been eleven previous births in the world with a transplanted womb, but from a living donor, usually a relative or friend.
Research leader Dr Dani Ejzenberg, of Universidade de Sao Paulo in Brazil, said, "The use of deceased donors could greatly broaden access to this treatment and our results provide proof-of-concept for a new option for women with uterine infertility". But all of the other successful deliveries so far have been made possible by living donors - often women who opt to donate their uterus to a close friend or family member without one. With live donors often in short supply, it's hoped this bold breakthrough from Brazil could offer hope to the 1 in 500 people who experience infertility problems from uterine anomalies. A year later, doctors say the mother and child are healthy.
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"This is a great alternative compared to live donor uterus transplants and therefore a really historic achievement", said Dr. Tullius, who is also a professor of surgery at Harvard University.
The researchers in Brazil reported that the uterus was ischemic - meaning, off a blood supply - for nearly eight hours, essentially double the reported time from any of the living donor transplants. Two babies have been born at Baylor University Medical Center in Texas and one in Serbia, also from transplants from living donors.
Another unknown is how likely the body is to reject a transplanted uterus, and thus how much antirejection medication the recipient would need, O'Neill says.
The baby girl was born in December 2017, but had to be closely monitored to ensure she was meeting appropriate developmental milestones.
Part of the challenge in transplanting a uterus from a deceased donor is that the process - obtaining an organ, matching it to a recipient based on blood type and other qualities, and completing the operation - can take time.
Five months was given to ensure that the uterus transplant was successful. It's a rare genetic condition, affecting about 4500 women worldwide, in which they are born without a uterus.
Brazilian doctors are now planning more transplants following the procedure.
In the end, they held off an additional month after tests suggested the lining of the donor uterus wasn't quite thick enough to support implantation.