This is a follow-up question to this excellent answer by David Hammen on the reasons and history of the choice of carbon as the element used to define the atomic mass unit.
As related in that answer, and particularly in this reference, for a very long time the calibration of the atomic mass numbers was actually fixed by setting the atomic mass of oxygen at 16 (also called the O=16 standard, back in the when); this makes a lot of sense as oxygen is plentiful and reactive, so it's possible to make it combine with just about anything.
However, this was brought to a halt by the discovery that oxygen has three different stable isotopes, $^{16}\mathrm{O}$, $^{17}\mathrm{O}$ and $^{18}\mathrm{O}$, with different masses - and, more importantly, by the fact that the isotopic ratio between them will vary depending on where the sample comes from, which is obviously a killer for precision metrology.
In response to this dilemma, the obvious choices are to set a fixed isotopic ratio for the definition of the atomic mass (a metrological nightmare) and changing the standard to specify that it's $^{16}\mathrm{O}$ that has an atomic mass of $16$, but the latter would have meant a large jump in the definition of the atomic mass. Instead, a compromise was chosen - setting the mass of $^{12}\mathrm{C}$ as the standard, which meant a smaller change (42 ppm) with respect to the isotopic-mixture standard than a change to a $^{16}\mathrm{O}$ standard would have (275 ppm).
However, I feel that that comparison isn't quite the correct one to take, and it just isn't all that informative. Instead, to really evaluate how much of a change was brought in by the switch to the $^{12}\mathrm{C}$ standard, the real yardstick one should use is the uncertainty brought into the standard by the variable isotopic composition of oxygen. So: for the sources of water used for metrology at the time of the shift (rain water, sea water, river water, etc., from different relevant locations), what is the range of the variability in the average atomic mass of oxygen, and how does this compare to the change brought by the switch to the carbon standard?