In most cases you'd probably need to be okay with practicing unlicensed. In some 3rd world countries, a credential from a 1st world country may be accepted.
as to prenatal care - I do as much as possible by phone and email before arriving, and refer mamas to get tests done if indicated with a local Dr or private clinic. So I do mnage to build at least some level of rapport and connection. It's not ideal, but for many women living in areas where there are no other options than going to a hospital with 80-90% c/ rate, it's better than nothing. And as I generally plan to arrive to the mama's home at around 37 weeks and staying either with her or very nearby, we have a LOT of time one-on-one to "catch up" and get to know one another and feel comfortable.
I am generally able to bring / source there everything I need and mama needs for prenatal, birth and postpartum.