In early 774, Charlemagne sent for Hildegard to travel to the Frankish camp at Pavia with Pippin and Charles. In 778, Hildegard traveled with Charlemagne to Chasseneuil-du-Poitou, where he was amassing his army for a campaign in Spain. In 781, Charlemagne and Hildegard traveled to Rome with Louis, Carloman, and their daughters at Pope Adrian's request. Hildegard had her final pregnancy in 782–783, and she and Charlemagne stayed in the palace at Thionville during that winter. Hildegard of the Vinzgau died in 783 and was buried near Metz. Hildegard often accompanied Charlemagne on his travels and campaigns, joining him at the siege of Pavia in 774 during his conquest of the Lombard kingdom and traveling with him to Rome in 781. She bore him nine children, including Charles the Younger, Pepin, who became king of Italy, and Louis, who became king of Aquitaine and later emperor as Louis the Pious, as well as daughters, including Rotrude, Bertha and Gisela. She was a patron of monasteries, including the abbey of Kempten. The available biographical account does not describe a continuous final medical course. It gives no dependable sequence of treatment and last symptoms from which to reconstruct a more detailed bedside narrative.