Finally got the correct spelling on this after 2 months.  Apparently when I was delivering Holden, his presentation was asynclitic, meaning that his head was tilted to the side (also explaining why I had back labor and why it took me 2 hours of pushing to deliver him).  Having read a few things about asynclitic births, I now realize I am SO LUCKY to have only had an episiotomy and not a caesarean section.  Had I been delivering with a regular OB, I am sure that things would have turned out differently (and not in a good way).  These births seem to usually require some sort of intervention.  Yay for midwifery!