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Article History

Received: 10 October 2024

Accepted: 3 November 2025

First Online: 12 December 2025

Declarations

:

: This study was conducted in accordance with Dutch law and Good Clinical Practice guidelines and the Declaration of Helsinki. As the study involved the observation of routine care without subjecting participants to treatment or requiring specific behaviours, the Medical Research Ethics Committee Oost-Nederland determined that this study was not subject to the Medical Research Involving Human Subject Act (2022–13622). Written informed consent was obtained from all participants. To ensure the anonymity of both participants and clients, identifying client characteristics, including quotes, were modified to prevent recognition. In all quotations were referred to as women to preserve confidentiality.

: Written informed consent for publication of anonymized quotes and case material was obtained from all participating healthcare professionals.

: The authors declare no competing interests.