The Journal cites 10 previous cases of failed uterus transplants from deceased donors, in the U.S., the Czech Republic and Turkey. Uterus transplantation, even from living donors, is still a very new procedure.
A doctor involved in the transplant said the uterus was preserved in ice for almost eight hours demonstrating the organ's resilience. He also tried the procedure on a second Brazilian woman, but she had to have the uterus removed two days after the operation because of complications.
Surgeons spent 10.5 hours plumbing in the organ by connecting veins, arteries, ligaments and vaginal canals.
"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", says lead researcher Dani Ejzenberg from Faculdade de Medicina da Universidade de São Paulo.
It was then transplanted to the woman who was given medication to weaken her immune system so her body would not reject the uterus. 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.
"The numbers of people willing and committed to donate organs upon their own deaths are far larger than those of live donors, offering a much wider potential donor population", said Ejzenberg, according to Reuters.
Brazilian doctors are now planning more transplants following the procedure.
Stuart Lavery, a consultant gynaecologist at Hammersmith hospital who was not involved in the latest study, said the birth was "quite a significant step", noting that using wombs from deceased donors improves safety.
We wish her a happy first birthday.
In this trial, the mother was given standard doses of immune suppression medications for nearly six months, with positive results, before implantation of the embryo was completed.
The woman got pregnant via in vitro fertilization (IVF) about seven months after the transplant procedure.
Pregnancy was confirmed 10 days after implantation, said the medical team. The baby girl was born via caesarean section on December 15, 2017, at 35 weeks of gestation.
How is a womb transplant performed?
After the birth both patient and baby appeared healthy and well.
The baby girl was seven months and 20 days old, weighing 7.5kg when the researchers wrote their report.
"Uterine transplant is a novel technique and should be regarded as experimental", he said.
Until recently, the only options available to women with so-called uterine infertility were adoption or the services of a surrogate mother.
In 2016, doctors at the Cleveland Clinic attempted a pregnancy using a uterus from a deceased donor, but it failed because of an infection.
"Successful pregnancy, without evidence of any compromise in spite of the uterus (womb) being without oxygen for eight hours before transplant, was unique".
Richard Kennedy, president of the International Federation of Fertility Societies (IFFS), said: "The IFFS welcomes this announcement which is an anticipated evolution from live donors with clear advantages and the prospect of increasing supply for women with hitherto untreatable infertility".