
The rules of omegaverse slightly change between different authors. Some allow alphas to birth and some dont, but the main rules of omegaverse such as having alphas, betas, and omegas stays. Many omegaverse mangas start off by showing the rules and explanation at the beginning to show whats the difference with this omegaverse manga.

Q= Alphas can get pregnant?
Ans/= Depends on the author, they can create their own world, for example, some authors allow betas to turn into omegas if they are exposed to a big amount alpha pheromones meanwhile others don't allow this to happen, so it is possible for alphas to get pregnant if the author wants to.
Ok reading omegaverse over the years, I saw that Alphas don't give birth, even female Alphas don't. They just only impregnate the partner (female and male omegas, and female betas). So this don't make any sense!!