The study compares the maternal and child health (MCH) status and health seeking behavior of the Americans and the Nepalese and explores the underlying causes of the differences in the MCH status and services between the two countries. A comprehensive review of the maternal and child health status was conducted from various studies published in nationally accredited reports and professional journals. Indicators of the infant and maternal mortality of Nepal are far below that of the United States. In addition, there are disparities in the leading causes of infant and maternal mortality in Nepal and the United States. There are greater rates of mortality among populations with lower economic positions, those with lower educational attainment and among the rural population in developing countries like Nepal. Compared to the U.S., exclusive and continued breastfeeding are found to be much more prevalent in Nepal. Postnatal care in the U.S. continues to be somewhat lacking in comparison to other maternal health related indicators. There are major inequities in maternal and child health in Nepal and the U.S. A standard maternal and child health survey is necessary to monitor health status and inform maternal and child health policy in developing countries. Appropriate policies in the U.S. are warranted to increase the rate of breastfeeding and postnatal care visits and to eliminate disparities based on race, age, occupation, or other socioeconomic characteristics.