I Am Pregnant and Don’t Know What to Do: Unplanned Pregnancy Options in Nebraska
Finding out you’re pregnant when you weren’t expecting it can feel overwhelming. You might be scared, confused, or unsure about what comes next. Those feelings are completely normal, and you’re not alone in experiencing them.
Thousands of women face unplanned pregnancies every year, and many of them feel exactly the way you do right now. The shock of a positive pregnancy test can bring up questions about your future, your relationships, and your ability to handle this moment. But here’s what matters most: you have options for unplanned pregnancy, and you have time to understand what each one means for you.
Ready to talk to someone who understands? Contact an adoption professional today for free, confidential support—no pressure, just honest answers about all your options.
This article will walk you through the practical steps you can take right now, the legal options available to you in Nebraska, and the resources that can help you move forward with clarity and confidence.
First Step: Confirm Your Pregnancy Medically
If you’ve taken an at-home pregnancy test, your first step should be getting medical confirmation of your pregnancy. At-home tests can be accurate, but they don’t give you the full picture.
A medical-grade pregnancy test and ultrasound can tell you:
- How far along you are in your pregnancy
- Whether the pregnancy is viable and progressing normally
- Your estimated due date
- What options are available to you based on your timeline
Free pregnancy testing and ultrasounds are available at several locations across Nebraska, including:
- Assure Women’s Center (Omaha) — Free pregnancy tests and ultrasounds at two locations: 6510 Sorensen Parkway and their east Omaha location. Call (402) 704-3374.
- Essential Pregnancy Services — Multiple locations across Nebraska offering free pregnancy confirmation, ultrasounds, and options counseling.
- Options Pregnancy Center (Scottsbluff) — Free pregnancy tests, ultrasounds, and confidential support.
- Pregnancy Center (Lincoln) — Free pregnancy testing and counseling services.
These appointments are confidential, and you don’t need insurance to receive care.
Understanding Your Unplanned Pregnancy Options in Nebraska
Once you confirm your pregnancy, you have three main options to consider:
- Parenting — Raising your child yourself or with a partner
- Abortion — Ending the pregnancy medically or surgically
- Adoption — Placing your baby with an adoptive family
Each option comes with its own timeline, legal considerations, and emotional impact. There’s no single “right” choice—only the choice that feels right for your life, your values, and your circumstances.
What to Know About Parenting After an Unplanned Pregnancy
Choosing to parent means taking on the financial, emotional, and practical responsibilities of raising a child. While this path can be incredibly rewarding, it’s important to understand what it requires.
Key Considerations for Parenting
Financial Support
- The average cost of raising a child in Nebraska includes expenses like childcare, healthcare, food, and housing
- You’ll need to consider how pregnancy and parenting will affect your work, education, and income
Emotional Readiness
- Do you have a support system—family, friends, or a partner—who can help?
- Are you prepared for the lifestyle changes that come with becoming a parent?
Practical Needs
- Housing, transportation, and access to childcare
- Health insurance for yourself and your baby
Nebraska Resources for Parents
If you decide to parent, several state and local programs can help:
- Nebraska WIC Program — Provides nutrition support for pregnant women and children under 5. Families of four earning up to $57,720 annually may qualify. Find locations at www.signupWIC.com or call (402) 219-1952.
- Nebraska Medicaid — Offers health coverage for pregnant women and children. Adults with income up to 138% of the poverty level qualify. Apply at iServe Nebraska or call (800) 383-4278.
- Child Care Subsidy Program — Helps low-income families pay for childcare while working or attending school. Families earning up to 185% of the federal poverty level may qualify under Nebraska Revised Statute § 68-1206. Apply through iServe Nebraska.
- SNAP (Food Assistance) — Families earning up to 165% of the poverty line may qualify for food benefits. Apply at iServe Nebraska or call (800) 383-4278.
- OneWorld Community Health Centers (Omaha) — Offers prenatal care, delivery services, and postpartum support for women with or without insurance.
- Nebraska Medicine (Omaha) — Comprehensive pregnancy care and delivery services.
- Kids Connection (CHIP) — Health coverage for children and pregnant women who don’t qualify for Medicaid. Call (402) 323-7455 or email Kids.Connection@dhhs.ne.gov.
Is Abortion Legal in Nebraska? Here’s What You Need to Know About Your Rights and Access
Abortion is legal in Nebraska, but access is limited by state law.
Current Nebraska Abortion Laws
According to the ACLU of Nebraska, Nebraska bans abortion after 12 weeks of pregnancy, measured from the first day of your last menstrual period. Exceptions exist for medical emergencies, serious risk to the pregnant person’s physical health, or pregnancies resulting from rape or incest. In November 2024, voters approved a constitutional amendment enshrining the 12-week ban in the Nebraska Constitution.
Additional restrictions under Nebraska law include a mandatory 24-hour waiting period, state-directed counseling, and a requirement that physicians be physically present when providing medication abortion—meaning telemedicine abortion is not available in Nebraska.
What This Means for You
If you’re considering abortion, you need to act quickly to understand your timeline. An ultrasound can determine how far along you are and what abortion methods may be available to you based on Nebraska law.
For minors: If you’re 17 or younger, Nebraska requires written consent from at least one parent or guardian before you can have an abortion. However, you can seek a judicial bypass—a court order that allows you to have an abortion without parental consent. To find abortion providers in Nebraska or neighboring states, contact:
- Your local Planned Parenthood
- A trusted healthcare provider
- The National Abortion Federation Hotline: 1-800-772-9100
Considering Adoption? What It Really Means
I got pregnant by accident—and now you’re wondering if adoption could be the right path forward. Adoption allows you to give your baby a stable, loving home while giving yourself the chance to move forward with your life on your own terms.
Adoption isn’t about giving up. It’s about choosing a different kind of love—one that prioritizes your baby’s future and your own wellbeing.
How Adoption Supports Pregnant Women in Nebraska
When you work with a licensed adoption agency, you receive comprehensive support throughout your pregnancy and beyond:
- Financial Assistance — Nebraska law allows adoptive families to help cover pregnancy-related expenses like rent, utilities, groceries, medical care, and maternity clothing during your pregnancy. In some states, support can continue for weeks after delivery.
- Free Counseling — You’ll have access to professional counseling at no cost, available 24/7 to help you process your emotions and make informed decisions.
- You Choose the Family — You get to review adoptive family profiles and select the family that feels right for your baby.
- Open Adoption Options — Many birth mothers choose open adoption arrangements, which allow for ongoing contact through letters, photos, visits, or other communication after placement.
- Post-Placement Support — Support doesn’t end at placement. You can receive counseling and guidance as you adjust to life after adoption.
Want to learn more about how adoption could work for you? Speak with an adoption professional who can answer your questions and explain the support available to you throughout your pregnancy.
Resources for Adoption in Nebraska
If you’re interested in learning more about adoption, these organizations can help:
- American Adoptions — National adoption agency serving Nebraska families. Call 1-800-236-7846 (available 24/7) or visit online for free information and support.
- Considering Adoption — Unbiased information about the adoption process.
- Adoption Agencies — Directory of licensed agencies.
Nebraska Adoption Laws You Should Know
According to Nebraska Revised Statute § 43-104, you cannot sign final consent to adoption until at least 48 hours after your baby is born. Before signing, you’re entitled to at least three hours of professional counseling at the adoptive parents’ or agency’s expense.
If the biological father is not involved, he must place his name in the putative father registry within 10 days after the baby’s birth. If he doesn’t, his consent isn’t required for the adoption to proceed.
You have the right to legal representation throughout the adoption process. For more information, see Nebraska’s adoption statutes.
Not Sure What to Do About an Unplanned Pregnancy? Here’s How to Make the Right Decision for You
Making a decision about an unplanned pregnancy isn’t easy, especially when you’re feeling pressure from every direction. Here’s how to approach this decision in a way that honors your needs:
Consider Your Values What matters most to you right now? Is it finishing school, maintaining your career, or ensuring your baby grows up in a two-parent home? Your values can guide you toward the choice that aligns with your goals.
Think About Timing Where are you in your life right now? Do you have the stability—financially, emotionally, and practically—to raise a child? Or would waiting until you’re more prepared serve both you and your baby better?
Evaluate Your Support System Who can you count on for help? A strong support network can make parenting more manageable. Without that support, other options might feel more realistic.
Give Yourself Permission to Feel Conflicted It’s okay not to know right away. It’s okay to feel torn between options. This is a life-changing decision, and it deserves the time and thought it needs.
Talk to Someone You Can Trust—Unplanned Pregnancy Counseling in Nebraska
You don’t have to make this decision alone. Unplanned pregnancy counselors are trained professionals who can help you explore your options, process your emotions, and make an informed decision without judgment.
These counselors won’t push you toward any particular choice. Instead, they’ll listen to your concerns, answer your questions, and help you think through what matters most to you.
Where to Find Unplanned Pregnancy Counseling in Nebraska
- American Adoptions — Call 1-800-236-7846 (available 24/7) to speak with a compassionate adoption professional who can answer questions about all your pregnancy options, including adoption.
- Essential Pregnancy Services — Offers free pregnancy counseling and support at multiple Nebraska locations.
- Assure Women’s Center (Omaha) — Confidential counseling and options education. Call (402) 704-3374.
- Options Pregnancy Center (Scottsbluff) — Free counseling for women facing unexpected pregnancies.
Community Health Centers and Free Clinics
- OneWorld Community Health Centers (Omaha) — Prenatal care and delivery services regardless of insurance status.
- Third City Community Clinic (Grand Island) — Low-cost care for uninsured and low-income individuals.
- Nebraska Urban Indian Health Coalition Medical Center — Primary care clinic serving Native Americans and others in the community.
State Maternal Health Programs
- Nebraska Medicaid Prenatal Plus Program — Supports at-risk pregnant mothers enrolled in Medicaid with enhanced care coordination and resources.
- Kids Connection (CHIP) — Health coverage for children and pregnant women who don’t qualify for Medicaid. Call (402) 323-7455.
National Hotlines
- National Pregnancy Helpline: 1-800-712-4357
- Nurse Advice Line (24/7): Available through many health insurance plans
- Crisis Text Line: Text HOME to 741741
You Deserve Support—Here’s Where to Start
No matter what you decide, you deserve to feel supported, informed, and confident in your choice. Whether you’re leaning toward parenting, abortion, or adoption, the next step is reaching out to someone who can help.
If you’re still unsure about what to do, start by confirming your pregnancy medically and talking to a counselor who can walk you through each option without pressure or judgment.
Ready to learn more about your pregnancy options? American Adoptions offers free, confidential support 24/7. You can ask questions, explore your options, and get the information you need to make the decision that’s right for you. Call 1-800-236-7846 or visit us online to get started.