The dobutamine stress echo test involves the injection of a medication called dobutamine while you are closely monitored. The medication stimulates your heart in a similar way as exercise. Important: If you have a pacemaker/defibrillator, it must be checked at Cleveland Clinic before your dobutamine stress echo test.
Your Baby During the Second Trimester. The second trimester is normally considered to be from the beginning of the fourth month to the end of the sixth month. This works out in weeks to start from about the thirteenth week of pregnancy.
During your second trimester of pregnancy, you can expect the following changes: â¢ Nausea, breast tenderness, and fatigue tend to diminish. â¢ You may feel more energetic. â¢ At the same time, you will likely gain weight, which may affect self-esteem. â¢ Libido typically rises.