As a Roe activist, a woman who was raped by her stepfather as a child tells her story in a Harris campaign ad

WASHINGTON (AP) — A 22-year-old woman who advocates for abortion rights after being raped by her stepfather as a child is telling her story in a new campaign ad for Democratic presidential candidate Kamala Harris.

Hadley Duvall says in a voiceover that she has never slept a full night in her life – her stepfather began abusing her when she was five and impregnated her when she was 12. As she speaks, images of Duvall as a child flash on the screen. The ad's soundtrack is a song by Billie Eilish, who endorsed the vice president on Tuesday.

“I remember thinking, I have to get out of my skin. I can't be myself right now. This can't be it,” says Duvall. “I didn't know what to do. I was a child. I didn't know what it meant to be pregnant. But I had options.”

The ad is part of an ongoing campaign by the Harris campaign to draw attention to the growing consequences of Roe's failure, including that some states have abortion restrictions, with no exceptions for rape or incest. Women in some states are suffering increasingly dangerous medical care, and this week the first case of a woman dying from delayed reproductive care was reported. Harris blames Republican nominee Donald Trump, who appointed three of the conservatives to the U.S. Supreme Court who helped overturn the constitutional right to abortion.

Duvall also blames Trump.

“Because Donald Trump overturned Roe v. Wade, girls and women across the country have lost the right to choose, even in cases of rape or incest,” she says in the ad. “Donald Trump did that. He took away our freedom.”

During the September 10 presidential debate, Trump repeatedly claimed credit for appointing the three Supreme Court justices and, when asked about abortion rights, leaned heavily on his blanket response that the issue should be left to the states. He said he would not sign a national ban on abortion.

“I am not signing a ban,” he said, adding: “There is no reason to sign the ban.”

However, he has also repeatedly refused to say whether he would oppose such a ban if re-elected – a question that has been hanging in the air since the Republican candidate changed his stance on this crucial campaign issue.

Duvall, of Owensboro, Kentucky, first told her story publicly last fall in a campaign ad for her home state's gubernatorial election, supporting Democratic Gov. Andy Beshear. Duvall's stepfather was convicted of rape and is in prison; she suffered a miscarriage.

Beshear was re-elected and Democrats said Duvall's ad had a strong motivational effect, especially among male voters from rural areas who had previously voted for Trump.

Duvall is also touring the country to campaign for Harris alongside other women who have been telling their personal stories since the Roe case, and last week she joined Pennsylvania Governor Josh Shapiro.