I always found those photos deeply unsettling. None of the women look particularly happy about being there. “If I don’t do this, Timmy doesn’t get that operation” vibes. The photo in the advertisement was bad enough, the outtakes are worse.
These aren't slice-of-life photos you can deconstruct like this, it's a professional shoot with amateur models. Professional models are paid to look happy to be there after hour three under hot lights. Amateur models thought you were going to snap a few pictures.
It's entirely possible that everyone in the photo needs to pee.